Individual provider Active NPI

Casey Lewis, LAC

  • Acupuncturist
  • East Syracuse, NY
National Provider Identifier
1396077400
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
004092 Issued in NY
Practice address
6515 Basile Rowe
East Syracuse, NY 13057-2928
Phone
(315) 569-6579
Fax
(315) 637-3999
NPI assigned
Feb 1, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 004092 NY Primary

Addresses

Primary practice location

6515 Basile Rowe
East Syracuse, NY 13057-2928

Mailing address

6515 Basile Rowe
East Syracuse, NY 13057-2928
Phone (315) 569-6579

Other practice location 1

181 Kenwood Ave
Oneida, NY 13421-2829
Phone (315) 569-6579

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1396077400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 BASILE ROWE",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130572928",
            "telephone_number": "315-569-6579",
            "fax_number": "315-637-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 BASILE ROWE",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130572928",
            "telephone_number": "315-569-6579",
            "fax_number": "315-637-3999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 Kenwood Ave",
            "address_purpose": "LOCATION",
            "city": "Oneida",
            "state": "NY",
            "postal_code": "134212829",
            "country_code": "US",
            "telephone_number": "315-569-6579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CASEY",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-01",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.