Active NPI
Lawrence Paul Doran, DC
- Chiropractor
- Allendale, MI
National Provider Identifier
1730104316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- LD005248
- Practice address
- 6534 Lake Michigan Drive
Allendale, MI 49401-9228 - Phone
- (616) 895-5499
- Fax
- (616) 895-5206
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | LD005248 | MI | Primary |
Addresses
Primary practice location
6534 Lake Michigan Drive
Allendale, MI 49401-9228
Mailing address
6534 Lake Michigan Dr
Allendale, MI 49401-9228
Phone (616) 895-5499
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141735626 | Medicaid | MI | |
| 950G010890 | Other | MI | BLUE CROSS BLUE SHIELD |
| P31651F | Other | MI | BLUE CARE NETWORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080505000584 | MI | Practitioner - Chiropractic | 1355420126 | Practice locations: Allendale, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6534 Lake Michigan Dr
Allendale, MI 49401-9228
Phone (616) 895-5499
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD005248 | MI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209340800000",
"number": "1730104316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6534 LAKE MICHIGAN DR",
"city": "ALLENDALE",
"state": "MI",
"postal_code": "494019228",
"telephone_number": "616-895-5499",
"fax_number": "616-895-5206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6534 LAKE MICHIGAN DRIVE",
"city": "ALLENDALE",
"state": "MI",
"postal_code": "494019228",
"telephone_number": "616-895-5499",
"fax_number": "616-895-5206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORAN",
"first_name": "LAWRENCE",
"middle_name": "PAUL",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2008-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "LD005248",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141735626",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "950G010890",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "P31651F",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Allendale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.