Individual provider Active NPI

Lawrence A Ball, DC

  • Chiropractor
  • Bothell, WA
National Provider Identifier
1821161829
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2670 Issued in WA
Practice address
125 164TH St SE
Bothell, WA 98012-5947
Phone
(425) 745-2311
NPI assigned
Nov 16, 2006
Last updated
Apr 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2670 WA Primary

Addresses

Primary practice location

125 164TH St SE
Bothell, WA 98012-5947

Mailing address

125 164TH St SE
Bothell, WA 98012-5947
Phone (425) 745-2311

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070806000310 WA Practitioner - Chiropractic 4284725276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark Lee Barrett,DC,LLCGroup PAC ID 1153561758, 2 clinicians

Practice addresses (Care Compare)

125 164TH St SE
Bothell, WA 98012-5947
Phone (425) 745-2311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2670WAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pearson Chiropractic PLLC PastSince Nov 18, 2002 Accepting new patients
Swendsen Chiropractic Clinic, P.S. Chiropractor PastSince Jul 1, 2007 Accepting new patients
Summers Chiropractic & Massage Inc Chiropractor Past Accepting new patients

Organizations & group practices 5

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1821161829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 164TH ST SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980125947",
            "telephone_number": "425-745-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 164TH ST SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980125947",
            "telephone_number": "425-745-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "LAWRENCE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "2670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.