Lawrence Bruce Iken, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

360 Issued in MO

Practice address

15410 Manchester Rd
Ellisville, MO 63011-3029

Phone

(636) 227-6477

Fax

(636) 227-6477

NPI assigned

Aug 31, 2006

Last updated

Jun 9, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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.

• Lawrence B. Iken,DPM,LLC

  dba Dr. Lawrence B. Iken

  • Podiatrist
  • Manchester, MO
  • NPI 1487898615
  Authorized official Same address or phone

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1972614451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15410 MANCHESTER RD",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630113029",
            "telephone_number": "636-227-6477",
            "fax_number": "636-227-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15410 MANCHESTER RD",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630113029",
            "telephone_number": "636-227-6477",
            "fax_number": "636-227-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKEN",
        "first_name": "LAWRENCE",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "360",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016002757",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972614451",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300900511",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01144931",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01302987",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Scott Howard, MS PT
• Joel T Hubbard, O.D.
• Shelby Hummel, DC
• Winter Renae Husband
• Elizabeth Huxel
• Ivy Terrace at Gambrill Gardens III (Ivy Terrace)
• Jacqueline Hartman Inc (Ellisville Hearing Center and Hearing Center of Kirkwood)
• Kerry Joe James, SA-C
• Jay F. Hauser, DDS, PC (Premier Dental Partners Ellisville)
• Musadiq Jeddy, RPH

• Podiatrist in Ellisville, MO
• Providers in Ellisville, MO by specialty
• Podiatrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.