Active NPI
Aubrey Lorentz, D.C.
- Chiropractor
- Rice Lake, WI
National Provider Identifier
1912350224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5196
- Practice address
- 407 W Knapp St
Rice Lake, WI 54868-1546 - Phone
- (715) 234-3808
- Fax
- (715) 234-3809
- NPI assigned
- Jul 21, 2016
- Last updated
- May 22, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5196 | WI | Primary |
Addresses
Primary practice location
407 W Knapp St
Rice Lake, WI 54868-1546
Mailing address
PO Box 40
Cameron, WI 54822-0040
Phone (715) 234-3808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
107 Alex Hatley Dr
Suite a
Bethel, AK 99559-3466
Phone (907) 543-7600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5196 | WI | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arctic Chiropractic Bethel, LLC | Chiropractor | Current | Accepting new patients |
| DPT Holdings, LLC | Current | Accepting new patients |
Locations
1150 S Colony Way
Ste 3226
Palmer, AK 99645
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.
-
- Chiropractor
- Bethel, AK
- NPI 1467582585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558483200000",
"number": "1912350224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40",
"city": "CAMERON",
"state": "WI",
"postal_code": "548220040",
"telephone_number": "715-234-3808",
"fax_number": "715-234-3809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 W KNAPP ST",
"city": "RICE LAKE",
"state": "WI",
"postal_code": "548681546",
"telephone_number": "715-234-3808",
"fax_number": "715-234-3809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORENTZ",
"first_name": "AUBREY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-21",
"last_updated": "2019-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "5196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rice Lake, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.