Individual provider Active NPI

Kevin Thomas Lancaster, D.C.

  • Chiropractor
  • Taylorville, IL
National Provider Identifier
1447440516
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010961 Issued in IL
Practice address
1219 W Spresser St
Taylorville, IL 62568-1714
Phone
(217) 287-1040
Fax
(217) 287-1048
NPI assigned
Jul 26, 2007
Last updated
Dec 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038010961 IL Primary

Addresses

Primary practice location

1219 W Spresser St
Taylorville, IL 62568-1714

Mailing address

1219 W Spresser St
Taylorville, IL 62568-1714
Phone (217) 287-1040

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

State licenses

LicenseStateTypeSpecialty
038010961ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr E.L. Strotheide LTD Chiropractor PastSince Jan 6, 2005 Accepting new patients
Wellnessone of Swansea, LLC Chiropractor Past Accepting new patients
Vitalize Chiropractic: a Creating Wellness Center LLC Chiropractor PastSince Nov 19, 2007 Accepting new patients
Beyond Healthcare S.C. Chiropractor Past Accepting new patients

Organizations & group practices 5

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.

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": "1292889600000",
    "number": "1447440516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 W SPRESSER ST",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625681714",
            "telephone_number": "217-287-1040",
            "fax_number": "217-287-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 W SPRESSER ST",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625681714",
            "telephone_number": "217-287-1040",
            "fax_number": "217-287-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCASTER",
        "first_name": "KEVIN",
        "middle_name": "THOMAS",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2010-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.