Individual provider Active NPI

Nickolas L. Lewis, D.C

  • Chiropractor
  • Columbus, OH
National Provider Identifier
1366832701
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4509 Issued in OH
Practice address
420 S Hamilton Rd
Columbus, OH 43213-2036
Phone
(614) 863-0097
Fax
(614) 863-6949
NPI assigned
Jan 23, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4509 OH Primary

Addresses

Primary practice location

420 S Hamilton Rd
Columbus, OH 43213-2036

Mailing address

420 S Hamilton Rd
Columbus, OH 43213-2036
Phone (614) 863-0097

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150210002421 OH Practitioner - Chiropractic 5395060594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1619 Victor Rd NW
Lancaster, OH 43130-7883
Phone (740) 653-5390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4509OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Buckeye Chiropractic and Rehab Inc Chiropractor CurrentSince Jan 16, 2017 Accepting new patients

Locations

1619 Victor Rd NW
Lancaster, OH 43130
Phone (740) 653-5390

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": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1366832701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S HAMILTON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132036",
            "telephone_number": "614-863-0097",
            "fax_number": "614-863-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S HAMILTON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132036",
            "telephone_number": "614-863-0097",
            "fax_number": "614-863-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "NICKOLAS",
        "middle_name": "L.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.