Individual provider Active NPI

Emma Lauer, DC

  • Chiropractor
  • Fulton, MO
National Provider Identifier
1891564936
Registry record updated Jan 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2023050040 Issued in MO
Practice address
621 Commons Dr
Fulton, MO 65251-1489
Phone
(573) 642-2273
NPI assigned
Jan 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2023050040 MO Primary

Addresses

Primary practice location

621 Commons Dr
Fulton, MO 65251-1489

Mailing address

8400 Hillers Creek Dr
New Bloomfield, MO 65063-1275
Phone (573) 310-9391

Other practice location 1

3702 W Truman Blvd Ste 218
Jefferson City, MO 65109-6153
Phone (573) 606-6970

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240104003717 MO Practitioner - Chiropractic 3375994205 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Koelling Family Chiropractic JeffcityGroup PAC ID 6406198209, 4 clinicians
Koelling Family Chiropractic PCGroup PAC ID 4183795719, 4 clinicians

Practice addresses (Care Compare)

3702 W Truman Blvd
Suite 218
Jefferson City, MO 65109-6153
Phone (573) 310-9391

621 Commons Dr
Fulton, MO 65251-1489
Phone (573) 642-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Koelling Family Chiropractic, PC Chiropractor CurrentSince Jan 2, 2024 Accepting new patients
Koelling Family Chiropractic Jeffcity Chiropractor CurrentSince Jan 2, 2024 Accepting new patients

Locations

621 Commons Dr
Fulton, MO 65251
Phone (573) 642-2273

3702 W Truman Blvd
Ste 218
Jefferson City, MO 65109
Phone (573) 310-9391

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704067200000",
    "number": "1891564936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 HILLERS CREEK DR",
            "city": "NEW BLOOMFIELD",
            "state": "MO",
            "postal_code": "650631275",
            "telephone_number": "573-310-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 COMMONS DR",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652511489",
            "telephone_number": "573-642-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3702 W Truman Blvd Ste 218",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "MO",
            "postal_code": "651096153",
            "country_code": "US",
            "telephone_number": "573-606-6970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAUER",
        "first_name": "EMMA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-01",
        "last_updated": "2024-01-01",
        "certification_date": "2023-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2023050040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2024; 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.