Individual provider Active NPI

Daron Bryan Lewis, DC

  • Chiropractor
  • Wenatchee, WA
National Provider Identifier
1568712628
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007650 Issued in IA
Practice address
610 N Mission St Ste 102
Wenatchee, WA 98801-6612
Phone
(509) 662-4711
Fax
(509) 662-2800
NPI assigned
Sep 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007650 IA Primary

Addresses

Primary practice location

610 N Mission St Ste 102
Wenatchee, WA 98801-6612

Mailing address

610 N Mission St Ste 102
Wenatchee, WA 98801-6612
Phone (509) 662-4711

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121105000702 WA Practitioner - Chiropractic 8224289913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Decamp-Lewis Chiropractic Clinic, PLLCGroup PAC ID 6204724842, 5 clinicians

Practice addresses (Care Compare)

610 N Mission St
Suite 102
Wenatchee, WA 98801-6612
Phone (509) 662-4711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007650IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Decamp-Lewis Chiropractic Clinic, PLLC Chiropractor CurrentSince Jun 29, 2022 Accepting new patients
Vision Quest Chiropractic & Wellness Inc Chiropractor Past Accepting new patients

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": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1568712628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N MISSION ST STE 102",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016612",
            "telephone_number": "509-662-4711",
            "fax_number": "509-662-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N MISSION ST STE 102",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016612",
            "telephone_number": "509-662-4711",
            "fax_number": "509-662-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DARON",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.