Individual provider Active NPI

Douglas Lynch, DC

  • Chiropractor
  • Avondale, AZ
National Provider Identifier
1376733303
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7841 Issued in AZ
Practice address
10723 W Indian School Rd
Avondale, AZ 85392-5636
Phone
(623) 848-6991
Fax
(623) 848-6993
NPI assigned
Jul 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7841 AZ Primary

Addresses

Primary practice location

10723 W Indian School Rd
Avondale, AZ 85392-5636

Mailing address

10723 W Indian School Rd
Avondale, AZ 85392-5636
Phone (623) 848-6991

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070827000410 AZ Practitioner - Chiropractic 7315039021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1300 S Watson Rd
Suite a 106
Buckeye, AZ 85326-6303
Phone (623) 386-0444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7841AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Buckeye Family Chiropractic Chiropractor CurrentSince Dec 22, 2018 Accepting new patients
Natural Life Centers, LTD. Chiropractor Past Accepting new patients

Locations

1300 S Watson Rd
#A106
Buckeye, AZ 85326
Phone (623) 386-0444

1300 S Watson Rd
Ste A106
Buckeye, AZ 85326
Phone (623) 386-0444

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": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1376733303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10723 W INDIAN SCHOOL RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925636",
            "telephone_number": "623-848-6991",
            "fax_number": "623-848-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10723 W INDIAN SCHOOL RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925636",
            "telephone_number": "623-848-6991",
            "fax_number": "623-848-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "DOUGLAS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.