Organization Active NPI

Lemire Chiropractic Spine & Sport Inc.

  • Clinic/Center
  • Elk Grove, CA
National Provider Identifier
1235649492
Registry record updated Oct 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
20289 Issued in CA
Legal business name
LEMIRE CHIROPRACTIC SPINE & SPORT INC.
Practice address
2354 Maritime Dr Ste 100
Elk Grove, CA 95758-3657
Phone
(916) 683-3900
Fax
(916) 683-3339
NPI assigned
Oct 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2017

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

Authorized official

Name
Dr. Nancy Lee Lemire, DC
Title
Director
Phone
(916) 683-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 20289 CA Primary

Addresses

Primary practice location

2354 Maritime Dr Ste 100
Elk Grove, CA 95758-3657

Mailing address

2354 Maritime Dr Ste 100
Elk Grove, CA 95758-3657
Phone (916) 683-3900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171228001295 CA Part B Supplier - Clinic/Group Practice 0749548543 Receives reassigned benefits from 1 practitioner
Practice locations: Elk Grove, CA

National Provider Directory

National Provider Directory

Locations

2354 Maritime Dr
Ste 100
Elk Grove, CA 95758
Phone (916) 683-3900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506902400000",
    "number": "1235649492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2354 MARITIME DR STE 100",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957583657",
            "telephone_number": "916-683-3900",
            "fax_number": "916-683-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2354 MARITIME DR STE 100",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957583657",
            "telephone_number": "916-683-3900",
            "fax_number": "916-683-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEMIRE CHIROPRACTIC SPINE & SPORT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A",
        "authorized_official_last_name": "LEMIRE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "916-683-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "20289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.