Kyle Lewis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6049 Issued in MN

Practice address

591 N Shore Dr
Forest Lake, MN 55025-1217

Phone

(651) 464-2133

Fax

(651) 982-6903

NPI assigned

Feb 1, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forest Lake Chiropractic Clinic, P.a.Group PAC ID 6901090687, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Forest Lake Chiropractic Clinic, P.a.

  • Chiropractor
  • Forest Lake, MN
  • NPI 1588706139
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1422748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422748800000",
    "number": "1013307826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 N SHORE DR",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550251217",
            "telephone_number": "651-464-2133",
            "fax_number": "651-982-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 N SHORE DR",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550251217",
            "telephone_number": "651-464-2133",
            "fax_number": "651-982-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KYLE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-01",
        "last_updated": "2015-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brant Adam Larsen, BRANT LARSEN D.C.
• Peter D Larson, DPT
• Laskow Chiropractic Clinic PA
• James Allen Laskow, DC
• David Jeffrey Lewis, D.C.
• Libby Dental, LLC
• Rebecca J Lietzow, FNP
• Life Roads, LLC
• Nicole Lindberg
• Jason M Logan, MD

• Chiropractor in Forest Lake, MN
• Providers in Forest Lake, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2015; 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.