Organization Active NPI

Lorenz Chiropractic Office LLC

  • Chiropractor
  • Boscobel, WI
National Provider Identifier
1932392982
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1898 Issued in WI
Legal business name
LORENZ CHIROPRACTIC OFFICE LLC
Practice address
109 W Oak St
Boscobel, WI 53805-1519
Phone
(608) 375-2411
Fax
(608) 375-2411
NPI assigned
Aug 23, 2007
Last updated
May 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2010

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

Authorized official

Name
Karla K Coon
Title
Ca
Phone
(608) 375-2411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1898 WI Primary

Addresses

Primary practice location

109 W Oak St
Boscobel, WI 53805-1519

Mailing address

PO Box 205
Boscobel, WI 53805-0205
Phone (608) 375-2411

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101214001113 WI Part B Supplier - Clinic/Group Practice 0446447544 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Prairie Du Chien, WI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

101 E Blackhawk Ave
Prairie du Chien, WI 53821
Phone (608) 326-2737

Practitioners & affiliated clinicians

Practitioners 3

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": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1932392982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 205",
            "city": "BOSCOBEL",
            "state": "WI",
            "postal_code": "538050205",
            "telephone_number": "608-375-2411",
            "fax_number": "608-375-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W OAK ST",
            "city": "BOSCOBEL",
            "state": "WI",
            "postal_code": "538051519",
            "telephone_number": "608-375-2411",
            "fax_number": "608-375-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORENZ CHIROPRACTIC OFFICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "COON",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CA",
        "authorized_official_telephone_number": "608-375-2411"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boscobel, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.