Individual provider Active NPI

Stephen Lemmons, D.C.

  • Chiropractor
  • Green Bay, WI
National Provider Identifier
1003121450
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4471-012 Issued in WI
Practice address
2525 W Mason St
Green Bay, WI 54303-4838
Phone
(920) 429-2844
NPI assigned
Aug 10, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4471-012 WI Primary

Addresses

Primary practice location

2525 W Mason St
Green Bay, WI 54303-4838

Mailing address

2525 W Mason St
Green Bay, WI 54303-4838
Phone (920) 429-2844

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110107000217 WI Practitioner - Chiropractic 2466641352 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4471-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Physical Therapy Services SC CurrentSince Jan 10, 2016 Accepting new patients
The Wellness Way Green Bay LLC Chiropractor CurrentSince Sep 16, 2019 Accepting new patients
Strong Chiropractic Office SC Chiropractor PastSince Jun 15, 2001 Accepting new patients
Black River Chiropractic Center, SC Chiropractor PastSince Aug 11, 2010 Accepting new patients

Locations

14625 W Capitol Dr
Ste 200
Brookfield, WI 53005
Phone (262) 439-9506

2638 Tulip Ln
Ste B
Green Bay, WI 54313
Phone (920) 429-2844

2525 W Mason St
Green Bay, WI 54303
Phone (920) 429-2844

Organizations & group practices 5

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": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1003121450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034838",
            "telephone_number": "920-429-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034838",
            "telephone_number": "920-429-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMMONS",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-10",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4471-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.