Individual provider Active NPI

John Earl Lemon Jr., D.C.

  • Chiropractor
  • Saluda, VA
National Provider Identifier
1336218460
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104555799 Issued in VA
Practice address
498 Gloucester Rd
Saluda, VA 23149-2590
Phone
(804) 758-1800
Fax
(804) 758-1803
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104555799 VA Primary

Addresses

Primary practice location

498 Gloucester Rd
Saluda, VA 23149-2590

Mailing address

498 Gloucester Rd
Saluda, VA 23149-2590
Phone (804) 758-1800

Other identifiers 1

IdentifierTypeStateIssuer
383192OtherVAANTHEM BLUE CROSS BLUE SH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050824000904 VA Practitioner - Chiropractic 6002847514 Practice locations: Gloucester, VA; Saluda, VA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Health Services, Inc Chiropractor PastSince May 11, 2009 Accepting new patients
Family Chiropractic Chiropractor PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1336218460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 GLOUCESTER RD",
            "city": "SALUDA",
            "state": "VA",
            "postal_code": "231492590",
            "telephone_number": "804-758-1800",
            "fax_number": "804-758-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 GLOUCESTER RD",
            "city": "SALUDA",
            "state": "VA",
            "postal_code": "231492590",
            "telephone_number": "804-758-1800",
            "fax_number": "804-758-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMON",
        "first_name": "JOHN",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "383192",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saluda, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.