Stephen List, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-04968 Issued in OH

Practice address

1311 Cameron Ave
Lewis Center, OH 43035-9662

Phone

(614) 781-8808

NPI assigned

Apr 26, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Revive Chiropractic Inc

  • Chiropractor
  • Lewis Center, OH
  • NPI 1063771186
  NPD

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

{
    "created_epoch": "1587859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587859200000",
    "number": "1225658628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 CAMERON AVE",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359662",
            "telephone_number": "614-781-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 CAMERON AVE",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359662",
            "telephone_number": "614-781-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIST",
        "first_name": "STEPHEN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-26",
        "last_updated": "2020-04-26",
        "certification_date": "2020-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-04968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Lauderback, LISW-S
• Dr. Danielle Marie Lautzenheiser, PH.D. H.I.C.
• Shana Michalle Leichliter
• Krista Michelle Leininger, PT
• Meghan Linthicum
• Nikole Loew, PCC S
• Yazmin Loew
• Lia Marie Lofreso
• Catherine M Lopienski, RPH
• Sandra Dolores Loya

• Chiropractor in Lewis Center, OH
• Providers in Lewis Center, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2020; 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.