Organization Active NPI

Lynden Family Chiropractic LLC

  • Chiropractor
  • Lynden, WA
National Provider Identifier
1477678209
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002166 Issued in WA
Legal business name
LYNDEN FAMILY CHIROPRACTIC LLC
Practice address
105-5TH Street
Suite 105
Lynden, WA 98264
Phone
(360) 318-0123
Fax
(360) 318-0424
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Dr. Lane Luxon, D.C.NPI 1437235520
Title
President
Phone
(360) 318-0123

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00002166 WA Primary

Addresses

Primary practice location

105-5TH Street
Suite 105
Lynden, WA 98264

Mailing address

P.O. Box 388
Lynden, WA 98264
Phone (360) 318-0123

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070504000254 WA Part B Supplier - Clinic/Group Practice 8628174828 Receives reassigned benefits from 1 practitioner
Practice locations: Lynden, WA

National Provider Directory

National Provider Directory

Locations

105 5th St
Ste 105
Lynden, WA 98264
Phone (360) 318-0123

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1477678209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 388",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "98264",
            "telephone_number": "360-318-0123",
            "fax_number": "360-318-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105-5TH STREET",
            "address_2": "SUITE 105",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "98264",
            "telephone_number": "360-318-0123",
            "fax_number": "360-318-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNDEN FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "LUXON",
        "authorized_official_first_name": "LANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-318-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynden, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.