Kevin Dale Lewis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3952 Issued in OR

Practice address

753 SW 11TH St Apt a
Redmond, OR 97756-2632

Phone

(541) 526-1488

Fax

(541) 322-6800

NPI assigned

Sep 11, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Pain Solutions of Oregon LLCGroup PAC ID 8123494242, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Advanced Pain Solutions of Oregon LLC

  • Family Nurse Practitioner
  • Redmond, OR
  • NPI 1982323259
  Medicare reassignment Care Compare group NPD
• Shelby Chiropractic

  • Chiropractor
  • Bend, OR
  • NPI 1992255327
  NPD (past) Authorized official

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1548593239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 NE BELLEVUE DR STE 102",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017696",
            "telephone_number": "541-330-7080",
            "fax_number": "541-330-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 SW 11TH ST APT A",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562632",
            "telephone_number": "541-526-1488",
            "fax_number": "541-322-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KEVIN",
        "middle_name": "DALE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-11",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548593239",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Elizabeth Legrand, D.O.
• Rachel Leiber
• Tiffani Lenzi, RN
• Erin Whitney Leonard, MS, CCC-SLP
• Leticia Lester
• Nicole Lex, FNP
• David Franklin Liddell, P.T.
• Sherry Lee Liebe, MSW, CSWA
• Mindy Lipsitz, M.D.
• Audrey Anne Lipskey, LCSW

• Chiropractor in Redmond, OR
• Providers in Redmond, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.

Verify at the official NPI Registry.