Cory Randall Lamar, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-04774 Issued in OH

Practice address

21820 Center Ridge Rd
Rocky River, OH 44116

Phone

(403) 087-5924

NPI assigned

Nov 9, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cory Lamar, LLC

  dba HealthSource of Rocky River

  • Rehabilitation Chiropractor
  • Rocky River, OH
  • NPI 1104391515
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1902319148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21820 CENTER RIDGE RD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163921",
            "telephone_number": "403-087-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21820 CENTER RIDGE RD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "44116",
            "telephone_number": "403-087-5924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33560 Detroit Rd",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "OH",
            "postal_code": "440112030",
            "country_code": "US",
            "telephone_number": "440-937-4222",
            "fax_number": "440-937-4522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMAR",
        "first_name": "CORY",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-09",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-04774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Junghae Helen Kwon, MD
• Sarah Lacy, LPCC
• Lakeshore Adult Center
• Lakeshore Heart, Inc.
• Amy Lamantia, LPCC-S
• Michelle Lamb, PT, DPT
• Manjola Lamcaj
• Patrick Lange
• Natalie Ann Lawrence, PT, DPT
• James Donald Lawson, PH.D.

• Chiropractor in Rocky River, OH
• Providers in Rocky River, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.