Individual provider Active NPI

Lynn Van Metre, D.C.

  • Chiropractor
  • Sherman Oaks, CA
National Provider Identifier
1053442756
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
24081 Issued in CA
Practice address
4560 Sherman Oaks Ave
Sherman Oaks, CA 91403-3010
Phone
(818) 380-6830
Fax
(818) 783-5828
NPI assigned
Mar 7, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 24081 CA Primary

Addresses

Primary practice location

4560 Sherman Oaks Ave
Sherman Oaks, CA 91403-3010

Mailing address

4560 Sherman Oaks Ave
Sherman Oaks, CA 91403-3010
Phone (818) 380-6830

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140423001290 CA Practitioner - Chiropractic 9537392733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24081CAMDNeurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053442756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 SHERMAN OAKS AVE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033010",
            "telephone_number": "818-380-6830",
            "fax_number": "818-783-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 SHERMAN OAKS AVE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033010",
            "telephone_number": "818-380-6830",
            "fax_number": "818-783-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN METRE",
        "first_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "24081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.