Individual provider Active NPI

Devon Matthew Lyons, DC

  • Chiropractor
  • Coconut Creek, FL
National Provider Identifier
1548081185
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH15236 Issued in FL
Practice address
4800 W Hillsboro Blvd Ste A11
Coconut Creek, FL 33073-4370
Phone
(954) 481-2828
Fax
(954) 481-2830
NPI assigned
Oct 17, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH15236 FL Primary

Addresses

Primary practice location

4800 W Hillsboro Blvd Ste A11
Coconut Creek, FL 33073-4370

Mailing address

8339 Fishers Island Way
Boca Raton, FL 33434-5873
Phone (561) 906-2125

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250305002369 FL Practitioner - Chiropractic 1951822048 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Cruz LLC Chiropractor CurrentSince Dec 22, 2024 Accepting new patients
Elevate Chiropractic & Health, LLC Chiropractor Current Accepting new patients

Locations

4800 W Hillsboro Blvd
Ste A11
Coconut Creek, FL 33073
Phone (954) 401-4589

Organizations & group practices 2

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": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1548081185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8339 FISHERS ISLAND WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334345873",
            "telephone_number": "561-906-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 W HILLSBORO BLVD STE A11",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734370",
            "telephone_number": "954-481-2828",
            "fax_number": "954-481-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "DEVON",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH15236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.