NPIMap

Organization Active NPI

Lewis Family Chiropractic and Wellness Center, PA

  • Chiropractor
  • Westminster, MD
National Provider Identifier
1427376177
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S01471 Issued in MD
Legal business name
LEWIS FAMILY CHIROPRACTIC AND WELLNESS CENTER, PA
Practice address
403 Malcolm Dr
Westminster, MD 21157-6107
Phone
(410) 876-8885
Fax
(410) 876-5961
NPI assigned
May 5, 2010
Last updated
May 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Dr. Gregory C Lewis, D.C.NPI 1386737229
Title
Owner/President
Phone
(410) 876-8885

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X S01471 MD Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X S03604 MD
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 01528 MD

Addresses

Primary practice location

403 Malcolm Dr
Westminster, MD 21157-6107

Mailing address

403 Malcolm Dr
Westminster, MD 21157-6107
Phone (410) 876-8885

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120111000235 MD Part B Supplier - Clinic/Group Practice 2961679162 Receives reassigned benefits from 1 practitioner
Practice locations: Westminster, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2166913Lewis Family Chiropractic and Wellness Center403 Malcolm Dr, Westminster, MD 21157Certificate of waiverMay 28, 2027

National Provider Directory

National Provider Directory

Locations

403 Malcolm Dr
Westminster, MD 21157
Phone (410) 876-8885

Practitioners & affiliated clinicians

Practitioners 2

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": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1427376177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 MALCOLM DR",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576107",
            "telephone_number": "410-876-8885",
            "fax_number": "410-876-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 MALCOLM DR",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576107",
            "telephone_number": "410-876-8885",
            "fax_number": "410-876-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS FAMILY CHIROPRACTIC AND WELLNESS CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "410-876-8885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01471",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03604",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01528",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.