Organization Active NPI

Lawrence Chiropractic Inc

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1902057953
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5573 Issued in CO
Legal business name
LAWRENCE CHIROPRACTIC INC
Practice address
3261 W Carefree Cir
BLDG D
Colorado Springs, CO 80917-3004
Phone
(719) 596-4580
Fax
(719) 596-4581
NPI assigned
Oct 8, 2008
Last updated
Oct 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Jagger Brock Lawrence, DCNPI 1023229358
Title
Chiropractor
Phone
(719) 596-4580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5573 CO Primary

Addresses

Primary practice location

3261 W Carefree Cir
BLDG D
Colorado Springs, CO 80917-3004

Mailing address

3261 W Carefree Cir
BLDG D
Colorado Springs, CO 80917-3004
Phone (719) 596-4580

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100625000132 CO Part B Supplier - Clinic/Group Practice 4183755754 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

3261 W Carefree Cir
Colorado Springs, CO 80917
Phone (719) 596-4580

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1902057953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3261 W CAREFREE CIR",
            "address_2": "BLDG D",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809173004",
            "telephone_number": "719-596-4580",
            "fax_number": "719-596-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3261 W CAREFREE CIR",
            "address_2": "BLDG D",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809173004",
            "telephone_number": "719-596-4580",
            "fax_number": "719-596-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "JAGGER",
        "authorized_official_middle_name": "BROCK",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "719-596-4580",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.