Lance Earl Gwyn, B.S., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010104 Issued in MI

Practice address

40020 Five Mile Rd
Plymouth, MI 48170-2764

Phone

(734) 420-3434

Fax

(734) 420-6968

NPI assigned

Jun 25, 2013

Sex

Male

Sole proprietor

Yes

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 MI

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DJM Chiropractic Group PLCGroup PAC ID 3072779636, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

Practice roles

Locations

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.

• DJM Chiropractic Group PLC

  • Chiropractor
  • West Bloomfield, MI
  • NPI 1861767139
  Medicare reassignment Care Compare group
• Achieving Health Chiropractic Plus PC

  • Chiropractor
  • Plymouth, MI
  • NPI 1245481449
  Medicare reassignment NPD

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1013357995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40020 FIVE MILE RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702764",
            "telephone_number": "734-420-3434",
            "fax_number": "734-420-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40020 FIVE MILE RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702764",
            "telephone_number": "734-420-3434",
            "fax_number": "734-420-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWYN",
        "first_name": "LANCE",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "B.S., D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha L Guyon, OTR/L
• Alise Guyton
• Jennifer Guzman - Pena
• Keila Guzman
• Gillian Guzzo
• Lauren Gyuricska, BCBA
• H L Acquisition
• Holly Ann Haase
• Pamela Jean Haase, M.S., L.L.P.C.
• Gabrielle Haber

• Chiropractor in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.