Lewisburg Sport & Spine Chiropractic Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC011061 Issued in PA

Legal business name

LEWISBURG SPORT & SPINE CHIROPRACTIC CENTER LLC

Practice address

114 Market St
Lewisburg, PA 17837-1542

Phone

(570) 412-2090

NPI assigned

Aug 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Lonni Lynette Ernst Dancy, D.C.NPI 1407278690

Title

Chiropractor / Owner

Phone

(570) 412-2090

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lonni Lynette Ernst Dancy, D.C.

  • Chiropractor
  • Lewisburg, PA
  • NPI 1407278690
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1043687916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MARKET ST",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178371542",
            "telephone_number": "570-768-4026",
            "fax_number": "570-768-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MARKET ST",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178371542",
            "telephone_number": "570-412-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISBURG SPORT & SPINE CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "ERNST DANCY",
        "authorized_official_first_name": "LONNI",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "CHIROPRACTOR / OWNER",
        "authorized_official_telephone_number": "570-412-2090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Lewisburg, PA
• Providers in Lewisburg, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.