Individual provider Active NPI

Adrian Cornelius Laros, DC

  • Chiropractor
  • Durham, NC
National Provider Identifier
1861970808
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4838 Issued in NC
Practice address
8202 Renaissance Pkwy Ste 108
Durham, NC 27713-6694
Phone
(919) 316-7957
Fax
(919) 977-2639
NPI assigned
Aug 1, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4838 NC Primary

Addresses

Primary practice location

8202 Renaissance Pkwy Ste 108
Durham, NC 27713-6694

Mailing address

8202 Renaissance Pkwy Ste 108
Durham, NC 27713-6694
Phone (919) 316-7957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4838NCMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1861970808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 RENAISSANCE PKWY STE 108",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136694",
            "telephone_number": "919-316-7957",
            "fax_number": "919-977-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 RENAISSANCE PKWY STE 108",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136694",
            "telephone_number": "919-316-7957",
            "fax_number": "919-977-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROS",
        "first_name": "ADRIAN",
        "middle_name": "CORNELIUS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.