Lauren Elder, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2022046606 Issued in MO

Practice address

631 S Lillian Ave
Bolivar, MO 65613-2329

Phone

(214) 690-4002

NPI assigned

Dec 29, 2021

Last updated

Jan 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1710647995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 CARE AVE",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657149679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 S LILLIAN AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656132329",
            "telephone_number": "214-690-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDER",
        "first_name": "LAUREN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2022046606",
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374K00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92-1281351",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig David Dunseth, M.D.
• Brittany Easley
• April E Edgar, FNP-BC
• Anjali M Edson, P.A.
• Carol Ehrhardt, SPEECH LANGUAGE PATH
• Ronda S Entlicher-Stewart, APRN,BC
• Laura M Entwisle
• Matthew Campbell Ericksen, D.O.
• Michael William Etches, MD
• Ronald A Evans, M.D.

• Chiropractor in Bolivar, MO
• Providers in Bolivar, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.