Robert J Lyons, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009800 Issued in MI

Practice address

4110 Copper Ridge Dr
Ste. 210
Traverse City, MI 49684-6722

Phone

(231) 943-2229

Fax

(231) 943-2231

NPI assigned

Oct 14, 2009

Last updated

May 13, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grand Traverse Family Chiropractic PLLCGroup PAC ID 3476865007, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grand Traverse Family Chiropractic PLLC

  dba Grand Traverse Family Chiropractic

  • Chiropractor
  • Traverse City, MI
  • NPI 1295114973
  Medicare reassignment Care Compare group NPD Authorized official
• Van Skyhock Chiropractic Center

  • Primary Care Clinic/Center
  • Traverse City, MI
  • NPI 1518367754
  NPD (past)

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1255666970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 COPPER RIDGE DR",
            "address_2": "STE. 210",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846722",
            "telephone_number": "231-943-2229",
            "fax_number": "231-943-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 COPPER RIDGE DR",
            "address_2": "STE. 210",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846722",
            "telephone_number": "231-943-2229",
            "fax_number": "231-943-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-14",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2373",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne L. Lynch
• Jesse Lynch
• Pamela Lynch
• Madyson L Lyon
• David Jay Lyons, MPT
• Stephanie Ann Macconnel, PA-C
• Danielle Macdonald, RN
• David Bruce Macdougall, MD
• Kallie Machan
• Patricia Marie Machin, LMSW

• Chiropractor in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.