Individual provider Active NPI

Walter Andrew Lester, DC

  • Chiropractor
  • Nantucket, MA
National Provider Identifier
1013132349
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
010353 Issued in NY
Practice address
125 Orange St # 3
Nantucket, MA 02554-4028
Phone
(917) 664-0425
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 010353 NY Primary

Addresses

Primary practice location

125 Orange St # 3
Nantucket, MA 02554-4028

Mailing address

125 Orange St # 3
Nantucket, MA 02554-4028
Phone (917) 664-0425

Other practice location 1

135 w 83rd street # 1048
New York, NY 10024-0547
Phone (917) 664-0425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
010353NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
West Side Chiropractic and Spinal Rehabilitation PLLC Chiropractor Past Accepting new patients

Organizations & group practices 1

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1013132349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ORANGE ST # 3",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025544028",
            "telephone_number": "917-664-0425",
            "fax_number": "917-664-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ORANGE ST # 3",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025544028",
            "telephone_number": "917-664-0425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 w 83rd street # 1048",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100240547",
            "country_code": "US",
            "telephone_number": "917-664-0425",
            "fax_number": "212-956-8442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESTER",
        "first_name": "WALTER",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "010353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nantucket, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.