Individual provider Active NPI

John A Lewis, DC

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1275615304
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002998 Issued in WA
Practice address
917 NE 192ND Ave
Vancouver, WA 98684-7537
Phone
(360) 896-6037
Fax
(360) 944-0144
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00002998 WA Primary
Chiropractor 111N00000X 273017 OR

Addresses

Primary practice location

917 NE 192ND Ave
Vancouver, WA 98684-7537

Mailing address

917 NE 192ND Ave
Vancouver, WA 98684-7537
Phone (360) 896-6037

Other practice location 1

605A SE 164th Ave
Vancouver, WA 98684-9613
Phone (360) 896-6037

Other identifiers 1

IdentifierTypeStateIssuer
0075861OtherWADEPT LABOR & INDUST #

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
273017ORMDChiropractor
CH00002998WAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1275615304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 NE 192ND AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986847537",
            "telephone_number": "360-896-6037",
            "fax_number": "360-944-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 NE 192ND AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986847537",
            "telephone_number": "360-896-6037",
            "fax_number": "360-944-0144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605A SE 164th Ave",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986849613",
            "country_code": "US",
            "telephone_number": "360-896-6037",
            "fax_number": "360-944-0144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002998",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273017",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT LABOR & INDUST #",
            "identifier": "0075861",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.