Active NPI
Keith Patrick Lynch, D.C.
- Chiropractor
- Charlottesville, VA
National Provider Identifier
1245447747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104 001987
- Practice address
- 1410 Incarnation Dr Ste 202C
Charlottesville, VA 22901-5708 - Phone
- (434) 245-8456
- Fax
- (434) 245-8457
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104 001987 | VA | Primary |
Addresses
Primary practice location
1410 Incarnation Dr Ste 202C
Charlottesville, VA 22901-5708
Mailing address
136 Buffalo Run Rd
Stanardsville, VA 22973-3659
Phone (434) 985-6094
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180813 | Other | VA | ANTHEM BLUE CROSS AND BLU |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1410 Incarnation Dr
Suite 202C
Charlottesville, VA 22901-5708
Phone (434) 245-8456
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104 001987 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lynch Clinic of Chiropractic, P.C. | Chiropractor | Current | Accepting new patients |
Locations
1410 Incarnation Dr
Ste 202C
Charlottesvle, VA 22901
Phone (434) 245-8456
Organizations & group practices 1
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.
-
- Chiropractor
- Charlottesville, VA
- NPI 1730395880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208217600000",
"number": "1245447747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 BUFFALO RUN RD",
"city": "STANARDSVILLE",
"state": "VA",
"postal_code": "229733659",
"telephone_number": "434-985-6094",
"fax_number": "434-245-8456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 INCARNATION DR STE 202C",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229015708",
"telephone_number": "434-245-8456",
"fax_number": "434-245-8457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "KEITH",
"middle_name": "PATRICK",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2008-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104 001987",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS AND BLU",
"identifier": "180813",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.