Active NPI
Richard Thad Lyon, D.C.
- Neurology Chiropractor
- Cranston, RI
National Provider Identifier
1407926884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- DCP00601
- Practice address
- 521 Park Ave
Cranston, RI 02910-2346 - Phone
- (401) 781-3374
- NPI assigned
- Nov 9, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 038007551 | IL | |
| Neurology Chiropractor | 111NN0400X | DCP00601 | RI | Primary |
Addresses
Primary practice location
521 Park Ave
Cranston, RI 02910-2346
Mailing address
521 Park Ave
Cranston, RI 02910-2346
Phone (401) 781-3374
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04506397 | Other | IL | BLUE CROSS BLUE SHIELD |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nyuli Chiropractic, P.C. | Neurology | Past | Accepting new patients |
| St. Charles Pain and Wellness Center, LLC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- St Charles, IL
- NPI 1225338353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341878400000",
"number": "1407926884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 PARK AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029102346",
"telephone_number": "401-781-3374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 PARK AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029102346",
"telephone_number": "401-781-3374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYON",
"first_name": "RICHARD",
"middle_name": "THAD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2012-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "IL",
"license": "038007551",
"primary": false
},
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "RI",
"license": "DCP00601",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "04506397",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.