Organization Active NPI

Lewis Chiropractic and Rehab,LLC

Doing business as Buckeye Chiropractic And Rehab INC

  • Chiropractor
  • Lancaster, OH
National Provider Identifier
1417497082
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4509 Issued in OH
Legal business name
LEWIS CHIROPRACTIC AND REHAB,LLC
Doing business as
Buckeye Chiropractic And Rehab INC
Practice address
1619 Victor Rd NW
Lancaster, OH 43130-7883
Phone
(740) 653-5390
Fax
(740) 653-2808
NPI assigned
Mar 2, 2017
Last updated
Mar 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Nickolas L Lewis, D.C.NPI 1366832701
Title
Owner
Phone
(740) 653-5390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4509 OH Primary

Addresses

Primary practice location

1619 Victor Rd NW
Lancaster, OH 43130-7883

Mailing address

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

Other names 1

  • Buckeye Chiropractic And Rehab INC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170331001884 OH Part B Supplier - Clinic/Group Practice 0941585079 Receives reassigned benefits from 1 practitioner
Practice locations: Lancaster, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1417497082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 VICTOR RD NW",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431307883",
            "telephone_number": "740-653-5390",
            "fax_number": "740-653-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 VICTOR RD NW",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431307883",
            "telephone_number": "740-653-5390",
            "fax_number": "740-653-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS CHIROPRACTIC AND REHAB,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "NICKOLAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-653-5390",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckeye Chiropractic And Rehab INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.