Individual provider Active NPI

Laura A Vanroo, DC

  • Chiropractor
  • Janesville, WI
National Provider Identifier
1982702544
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3791-012 Issued in WI
Practice address
2505 Milton Ave
Janesville, WI 53545-0441
Phone
(608) 756-5225
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3791-012 WI Primary

Addresses

Primary practice location

2505 Milton Ave
Janesville, WI 53545-0441

Mailing address

2505 Milton Ave
Janesville, WI 53545-0441
Phone (608) 756-5225

Other identifiers 2

IdentifierTypeStateIssuer
38933000MedicaidWI
38994700OtherWIMEDICAID GROUP

Other names 1

  • Laura A Keith Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100109000272 WI Practitioner - Chiropractic 7012058266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Van Roo Family Chiropractic LLCGroup PAC ID 9638492366, 3 clinicians

Practice addresses (Care Compare)

1711 Holiday Dr
Suite 100
Janesville, WI 53545-0745
Phone (608) 756-5225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3791-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Van Roo Family Chiropractic LLC Chiropractor CurrentSince Dec 1, 2014 Accepting new patients
Arcadia Chiropractic & Wellness Inc. Chiropractor PastSince Mar 31, 2016 Accepting new patients

Locations

2505 Milton Ave
Janesville, WI 53545
Phone (608) 756-5225

1711 Holiday Dr
Ste 100
Janesville, WI 53545
Phone (608) 756-5225

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1982702544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 MILTON AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450441",
            "telephone_number": "608-756-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 MILTON AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450441",
            "telephone_number": "608-756-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANROO",
        "first_name": "LAURA",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3791-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38933000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "38994700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "KEITH",
            "middle_name": "A",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.