Individual provider Active NPI

Aubrey Lorentz, D.C.

  • Chiropractor
  • Rice Lake, WI
National Provider Identifier
1912350224
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5196 Issued in WI
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20250205000395 AK Practitioner - Chiropractic 2860787389 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
5196WIMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arctic Chiropractic Bethel, LLC Chiropractor CurrentSince Oct 31, 2024 Accepting new patients
DPT Holdings, LLC CurrentSince May 1, 2024 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.

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.

Verify at the official NPI Registry.