Individual provider Active NPI

Cameron S Lichfield, D.C.

  • Chiropractor
  • Littleton, CO
National Provider Identifier
1093836660
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4662 Issued in CO
Practice address
10789 Bradford Rd Ste 110
Littleton, CO 80127-6404
Phone
(303) 904-8641
Fax
(303) 904-8793
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
Yes

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 4662 CO Primary

Addresses

Primary practice location

10789 Bradford Rd Ste 110
Littleton, CO 80127-6404

Mailing address

9633 S Dudley Way
Littleton, CO 80127-8522
Phone (720) 981-1275

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040923000027 WA Practitioner - Chiropractic 6305814773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2003 132ND St SE
Suite E
Everett, WA 98208-7140
Phone (425) 379-6301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4662COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Chiropractic Inc PS Chiropractor CurrentSince Jul 13, 2019 Accepting new patients
Crossroads Family Chiropractic, Inc Chiropractor PastSince Sep 9, 1996 Accepting new patients
M5 Chiropractic Professional LLC Chiropractor Past Accepting new patients

Locations

2003 132nd St SE
Ste E
Everett, WA 98208
Phone (425) 355-1500

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093836660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9633 S DUDLEY WAY",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801278522",
            "telephone_number": "720-981-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10789 BRADFORD RD STE 110",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801276404",
            "telephone_number": "303-904-8641",
            "fax_number": "303-904-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHFIELD",
        "first_name": "CAMERON",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

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.
  • 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.