Individual provider Active NPI

Steven G Lynch, DC

  • Chiropractor
  • Tucson, AZ
National Provider Identifier
1457486359
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5870 Issued in AZ
Practice address
1801 S Alvernon Way Ste 107
Tucson, AZ 85711-5692
Phone
(520) 790-1250
Fax
(520) 790-3477
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 5870 AZ
Chiropractor 111N00000X 5870 AZ Primary

Addresses

Primary practice location

1801 S Alvernon Way Ste 107
Tucson, AZ 85711-5692

Mailing address

5115 N Dysart Rd Ste 202 # 611
Litchfield Park, AZ 85340-3036
Phone (602) 503-2400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091105000683 AZ Practitioner - Chiropractic 9931247210 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5870AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
First Chiropractic - 22ND St LLC Chiropractor CurrentSince Nov 8, 2019 Accepting new patients
First Chiropractic St. Mary'S LLC Chiropractor CurrentSince Nov 8, 2019 Accepting new patients
First Chiropractic - Ina LLC Chiropractor CurrentSince Nov 8, 2019 Accepting new patients
North Phoenix Chiropractic, LLC Chiropractor Past Accepting new patients
Camelview Chiropractic Chiropractor Past Accepting new patients

Locations

1801 S Alvernon Way
Ste 107
Tucson, AZ 85711
Phone (520) 790-1250

4229 W Ina Rd
Ste 101
Tucson, AZ 85741
Phone (520) 744-9586

225 E Valencia Rd
Ste 130
Tucson, AZ 85706
Phone (520) 294-8151

1325 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 624-8105

8560 E 22nd St
Ste 100
Tucson, AZ 85710
Phone (520) 886-4213

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1457486359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 N DYSART RD STE 202 # 611",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853403036",
            "telephone_number": "602-503-2400",
            "fax_number": "480-539-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S ALVERNON WAY STE 107",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857115692",
            "telephone_number": "520-790-1250",
            "fax_number": "520-790-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "STEVEN",
        "middle_name": "G",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "5870",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.