Active NPI
Christopher Keith Lannon, D.C.
- Chiropractor
- Penfield, NY
National Provider Identifier
1376595363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9742
- Practice address
- 28 Willow Pond Way
Ste. 1
Penfield, NY 14526-2629 - Phone
- (585) 377-3220
- Fax
- (585) 377-4820
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 9742 | NY | Primary |
Addresses
Primary practice location
28 Willow Pond Way
Ste. 1
Penfield, NY 14526-2629
Mailing address
28 Willow Pond Way
Ste. 1
Penfield, NY 14526-2629
Phone (585) 377-3220
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 629531 | Other | NY | ACN |
| 7611263 | Other | NY | AETNA |
| PO10097421 | Other | NY | BCBS |
| C09742-OB | Other | NY | WORKERS COMPENSATION |
| 1376595363 | Other | NY | NPI |
| FA0823 | Other | NY | PREFERRED CARE |
| C09742-OB | Other | NY | NO FAULT |
| 161614010 | Other | NY | TAX ID |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9742 | NY | MD | Clinical Psychologist |
| 009742 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196985600000",
"number": "1376595363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 WILLOW POND WAY",
"address_2": "STE. 1",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145262629",
"telephone_number": "585-377-3220",
"fax_number": "585-377-4820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 WILLOW POND WAY",
"address_2": "STE. 1",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145262629",
"telephone_number": "585-377-3220",
"fax_number": "585-377-4820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANNON",
"first_name": "CHRISTOPHER",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2007-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "9742",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "629531",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7611263",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "PO10097421",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION",
"identifier": "C09742-OB",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1376595363",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "FA0823",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NO FAULT",
"identifier": "C09742-OB",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "161614010",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Penfield, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.