Individual provider Active NPI

Samuel Lahr, DC

  • Chiropractor
  • Grimes, IA
National Provider Identifier
1831751825
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
097358 Issued in IA
Practice address
925 SE Gateway Dr # 300
Grimes, IA 50111-6632
Phone
(515) 986-1400
NPI assigned
Jul 1, 2019
Last updated
Jul 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 097358 IA Primary

Addresses

Primary practice location

925 SE Gateway Dr # 300
Grimes, IA 50111-6632

Mailing address

400 S 8TH CT Unit 67
Indianola, IA 50125-2747
Phone (563) 920-8081

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190819000657 IA Practitioner - Chiropractic 6305174145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True Roots Chiropractic PLLCGroup PAC ID 2769729359, 3 clinicians

Practice addresses (Care Compare)

850 18TH St
Des Moines, IA 50314-1101
Phone (515) 612-7701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
097358IAMDChiropractor

Organizations & group practices 2

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": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1831751825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S 8TH CT UNIT 67",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501252747",
            "telephone_number": "563-920-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 SE GATEWAY DR # 300",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501116632",
            "telephone_number": "515-986-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAHR",
        "first_name": "SAMUEL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "097358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grimes, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.