Individual provider Active NPI

Marty Jo Laudig, D.C.

  • Chiropractor
  • Lomita, CA
National Provider Identifier
1932191871
Registry record updated Oct 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28810 Issued in CA
Practice address
2170 Lomita Blvd
Lomita, CA 90717-1623
Phone
(310) 530-1659
Fax
(310) 872-5531
NPI assigned
Aug 17, 2005
Last updated
Oct 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC28810 CA Primary

Addresses

Primary practice location

2170 Lomita Blvd
Lomita, CA 90717-1623

Mailing address

2170 Lomita Blvd
Lomita, CA 90717-1623
Phone (310) 530-1659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC28810CAMDChiropractor

Organizations & group practices 1

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350691200000",
    "number": "1932191871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 LOMITA BLVD",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907171623",
            "telephone_number": "310-530-1659",
            "fax_number": "310-872-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 LOMITA BLVD",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907171623",
            "telephone_number": "310-530-1659",
            "fax_number": "310-872-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUDIG",
        "first_name": "MARTY",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2012-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lomita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.