Organization Active NPI

Lynch Chiropractic PLLC

  • Independent Medical Examiner Chiropractor
  • Dubuque, IA
National Provider Identifier
1306287206
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
007356 Issued in IA
Legal business name
LYNCH CHIROPRACTIC PLLC
Practice address
419 N Grandview Ave
Dubuque, IA 52001-6363
Phone
(563) 564-8198
NPI assigned
Jul 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Authorized official

Name
Dr. Peter Harland Lynch, D.O.NPI 1073815171
Title
Chiropractor
Phone
(563) 564-8198

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NI0013X 007356 IA Primary

Addresses

Primary practice location

419 N Grandview Ave
Dubuque, IA 52001-6363

Mailing address

419 N Grandview Ave
Dubuque, IA 52001-6363
Phone (563) 564-8198

Other names 1

  • Tri-States Clinic of Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130910000967 IA Part B Supplier - Clinic/Group Practice 9436393519 Receives reassigned benefits from 1 practitioner
Practice locations: Dubuque, IA

National Provider Directory

National Provider Directory

Locations

419 N Grandview Ave
Dubuque, IA 52001
Phone (563) 564-8198

419 N Grandview Ave
Ste 200
Dubuque, IA 52001
Phone (563) 585-0800

5025 Wolff Rd
Ste 101
Dubuque, IA 52002
Phone (563) 585-0800

5025 Wolff Rd
Ste 1
Dubuque, IA 52002

Practitioners & affiliated clinicians

Practitioners 3

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": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1306287206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 N GRANDVIEW AVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016363",
            "telephone_number": "563-564-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 N GRANDVIEW AVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016363",
            "telephone_number": "563-564-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNCH CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "HARLAND",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "563-564-8198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "IA",
            "license": "007356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-States Clinic of Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.