Individual provider Active NPI

Kevin Lew, DC

  • Chiropractor
  • Cupertino, CA
National Provider Identifier
1174178487
Registry record updated Aug 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34436 Issued in CA
Practice address
21730 Stevens Creek Blvd Ste 102
Cupertino, CA 95014-1171
Phone
(408) 255-2592
NPI assigned
Aug 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 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 34436 CA Primary

Addresses

Primary practice location

21730 Stevens Creek Blvd Ste 102
Cupertino, CA 95014-1171

Mailing address

21730 Stevens Creek Blvd Ste 102
Cupertino, CA 95014-1171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brass Chiropractic Incorporated Chiropractor CurrentSince Jul 3, 2022 Accepting new patients
Lisa Stein Chiropractic Inc Chiropractor CurrentSince Aug 11, 2019 Accepting new patients

Locations

21730 Stevens Creek Blvd
Ste 102
Cupertino, CA 95014
Phone (408) 255-2592

Interoperability endpoints

  • Direct secure messaging: kevin.lew.1@19661.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564876800000",
    "number": "1174178487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21730 STEVENS CREEK BLVD STE 102",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21730 STEVENS CREEK BLVD STE 102",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141171",
            "telephone_number": "408-255-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEW",
        "first_name": "KEVIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-04",
        "last_updated": "2019-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.