James David Lewis, D.C.
Individual provider Active NPI Chiropractor · Daingerfield, TX
NPI 1487719910 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1487719910
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2934 (TX)
- Practice address
- 1412 Linda Dr
Daingerfield, TX 75638-2132 - Phone
- (903) 645-2225
- Fax
- (903) 645-2631
- NPI assigned
- Dec 26, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2934 | TX | Yes |
Addresses
Primary practice location
1412 Linda Dr
Daingerfield, TX 75638-2132
Mailing address
1412 Linda Dr
Daingerfield, TX 75638-2132
Phone (903) 645-2225
NPI Registry JSON
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1487719910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 LINDA DR",
"city": "DAINGERFIELD",
"state": "TX",
"postal_code": "756382132",
"telephone_number": "903-645-2225",
"fax_number": "903-645-2631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 LINDA DR",
"city": "DAINGERFIELD",
"state": "TX",
"postal_code": "756382132",
"telephone_number": "903-645-2225",
"fax_number": "903-645-2631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "JAMES",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "2934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daingerfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.