Individual provider Active NPI

William A Lewis, DC

  • Chiropractor
  • Tulsa, OK
National Provider Identifier
1306061304
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3380 Issued in OK
Practice address
10106 E 79TH St Ste B
Tulsa, OK 74133-4555
Phone
(918) 770-0249
Fax
(918) 770-0250
NPI assigned
Apr 16, 2007
Last updated
Jan 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3380 OK Primary

Addresses

Primary practice location

10106 E 79TH St Ste B
Tulsa, OK 74133-4555

Mailing address

10106 E 79TH St Ste B
Tulsa, OK 74133-4555
Phone (918) 260-4567

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
3380OKMDMental Health Counselor
8619TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Supreme Healthcare PLLC CurrentSince Jan 1, 2021 Accepting new patients
Skylimit Integrated Wellness Solutions of Decatur, LLC Past Accepting new patients
Lewis Chiropractic PA Chiropractor PastSince Jul 1, 2003 Accepting new patients
Infinity Chiropractic Clinic LLC Chiropractor Past Accepting new patients

Locations

6949 E 71st St
Tulsa, OK 74133
Phone (918) 392-0742

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1306061304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10106 E 79TH ST STE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334555",
            "telephone_number": "918-260-4567",
            "fax_number": "918-770-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10106 E 79TH ST STE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334555",
            "telephone_number": "918-770-0249",
            "fax_number": "918-770-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.