Active NPI
Stephen Lemmons, D.C.
- Chiropractor
- Green Bay, WI
National Provider Identifier
1003121450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4471-012
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4471-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedom Physical Therapy Services SC | Current | Accepting new patients | |
| The Wellness Way Green Bay LLC | Chiropractor | Current | Accepting new patients |
| Strong Chiropractic Office SC | Chiropractor | Past | Accepting new patients |
| Black River Chiropractic Center, SC | Chiropractor | Past | 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.
-
- Chiropractor
- New London, WI
- NPI 1891733382
-
- Physical Therapist
- Fox Point, WI
- NPI 1063406544
-
- Chiropractor
- Green Bay, WI
- NPI 1003837170
-
- Chiropractor
- Neillsville, WI
- NPI 1073514527
-
- Chiropractor
- Neenah, WI
- NPI 1073604427
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.