Individual provider Active NPI

Nathan James Lyons, DC

  • Chiropractor
  • Clinton Township, MI
National Provider Identifier
1043771892
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010791 Issued in MI
Practice address
35525 Garfield Rd Ste B
Clinton Township, MI 48035-5521
Phone
(586) 477-1800
Fax
(586) 477-1815
NPI assigned
Mar 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010791 MI Primary

Addresses

Primary practice location

35525 Garfield Rd Ste B
Clinton Township, MI 48035-5521

Mailing address

44005 Bayview Ave Apt 37211
Clinton Township, MI 48038-7237
Phone (586) 321-2474

Other practice location 1

38165 Utica Rd
Sterling Heights, MI 48312-1767
Phone (586) 939-2040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190603001465 MI Practitioner - Chiropractic 6901139104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mediterranean Association PLLCGroup PAC ID 1456533199, 3 clinicians

Practice addresses (Care Compare)

35525 Garfield Rd
Suite B
Clinton Township, MI 48035-5521
Phone (586) 477-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301010791MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mediterranean Association PLLC Chiropractor CurrentSince Apr 2, 2019 Accepting new patients
John M Dimasi DC PC Chiropractor PastSince Apr 2, 2019 Accepting new patients

Locations

35525 Garfield Rd
Ste B
Clinton Twp, MI 48035
Phone (586) 477-1800

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1043771892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44005 BAYVIEW AVE APT 37211",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480387237",
            "telephone_number": "586-321-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35525 GARFIELD RD STE B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480355521",
            "telephone_number": "586-477-1800",
            "fax_number": "586-477-1815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38165 Utica Rd",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483121767",
            "country_code": "US",
            "telephone_number": "586-939-2040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYONS",
        "first_name": "NATHAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.