Active NPI
John Eric Lefevre, D.C.
- Chiropractor
- Bloomsburg, PA
National Provider Identifier
1477554376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC005505-L
- Practice address
- 519 Park St
Bloomsburg, PA 17815-2328 - Phone
- (570) 784-0360
- NPI assigned
- Aug 2, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC005505-L | PA | Primary |
Addresses
Primary practice location
519 Park St
Bloomsburg, PA 17815-2328
Mailing address
519 Park St
Bloomsburg, PA 17815-2328
Phone (570) 784-0360
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0769702 | Other | PA | KEYSTONE |
| 02386600 | Other | PA | CAPITOL BLUE CROSS |
| 769702 | Other | PA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
519 Park St
Bloomsburg, PA 17815-2328
Phone (570) 784-0360
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC005505-L | PA | MD | Chiropractor |
Organizations & group practices 1
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.
-
- Chiropractor
- Bloomsburg, PA
- NPI 1518074368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470355200000",
"number": "1477554376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 PARK ST",
"city": "BLOOMSBURG",
"state": "PA",
"postal_code": "178152328",
"telephone_number": "570-784-0360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 PARK ST",
"city": "BLOOMSBURG",
"state": "PA",
"postal_code": "178152328",
"telephone_number": "570-784-0360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFEVRE",
"first_name": "JOHN",
"middle_name": "ERIC",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2016-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC005505-L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "0769702",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITOL BLUE CROSS",
"identifier": "02386600",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "769702",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bloomsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.