Organization Active NPI

Lykens Chiropractic, Inc

  • Chiropractor
  • Winchester, VA
National Provider Identifier
1508815598
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104555911 Issued in VA
Legal business name
LYKENS CHIROPRACTIC, INC
Practice address
650 Cedar Creek Grade Ste 207
Winchester, VA 22601-6454
Phone
(540) 667-7388
Fax
(540) 667-4694
NPI assigned
May 8, 2006
Last updated
Feb 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Authorized official

Name
Ronda N Lykens, DCNPI 1588662563
Title
Doctor of Chiropractic
Phone
(540) 667-7388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104555911 VA Primary

Addresses

Primary practice location

650 Cedar Creek Grade Ste 207
Winchester, VA 22601-6454

Mailing address

650 Cedar Creek Grade Ste 207
Winchester, VA 22601-6454
Phone (540) 667-7388

Other identifiers 5

IdentifierTypeStateIssuer
1588662563OtherVAINDIV. PRACTITIONER NPI
39606OtherVAOPTIMA/SENTARA
192109OtherVABLUE CROSS BLUE SHIELD
1508815598OtherVAGROUP NPI
000300446MedicaidVA

National Provider Directory

National Provider Directory

Locations

2433 Valley Ave
Ste 105
Winchester, VA 22601
Phone (540) 336-9203

650 Cedar Creek Grade
Ste 207
Winchester, VA 22601
Phone (540) 667-7388

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517443200000",
    "number": "1508815598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 CEDAR CREEK GRADE STE 207",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016454",
            "telephone_number": "540-667-7388",
            "fax_number": "540-667-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CEDAR CREEK GRADE STE 207",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016454",
            "telephone_number": "540-667-7388",
            "fax_number": "540-667-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYKENS CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2018-02-01",
        "status": "A",
        "authorized_official_last_name": "LYKENS",
        "authorized_official_first_name": "RONDA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "540-667-7388",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIV. PRACTITIONER NPI",
            "identifier": "1588662563",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA/SENTARA",
            "identifier": "39606",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "192109",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1508815598",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000300446",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.