Individual provider Active NPI

Lance Krogh, DC

  • Chiropractor
  • Pampa, TX
National Provider Identifier
1750523569
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10915 Issued in TX
Practice address
701 N Price Rd
Pampa, TX 79065-5126
Phone
(806) 665-7261
Fax
(806) 665-0537
NPI assigned
Mar 26, 2009
Last updated
Mar 14, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10915 TX Primary
Pediatric Chiropractor 111NP0017X 10915 TX

Addresses

Primary practice location

701 N Price Rd
Pampa, TX 79065-5126

Mailing address

701 N Price Rd
Pampa, TX 79065-5126
Phone (806) 665-7261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090715000342 TX Practitioner - Chiropractic 9234281684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark W. Ford, Jr., D.C., P.C.Group PAC ID 5890861090, 2 clinicians

Practice addresses (Care Compare)

701 N Price Rd
Pampa, TX 79065-5126
Phone (806) 665-7261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10915TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mark W. Ford, Jr., D.C., P.C. Chiropractor CurrentSince Jun 15, 2009 Accepting new patients

Locations

701 N Price Rd
Pampa, TX 79065
Phone (806) 665-7261

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300060800000",
    "number": "1750523569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N PRICE RD",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790655126",
            "telephone_number": "806-665-7261",
            "fax_number": "806-665-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N PRICE RD",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790655126",
            "telephone_number": "806-665-7261",
            "fax_number": "806-665-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROGH",
        "first_name": "LANCE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-26",
        "last_updated": "2011-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10915",
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "TX",
            "license": "10915",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pampa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.

Verify at the official NPI Registry.