Organization Active NPI

Lewis Chiropractic Group, Inc.

  • Chiropractor
  • Lady Lake, FL
National Provider Identifier
1588068951
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6417 Issued in FL
Legal business name
LEWIS CHIROPRACTIC GROUP, INC.
Practice address
510 County Road 466
Suite 104B
Lady Lake, FL 32159-9999
Phone
(270) 320-7515
NPI assigned
Oct 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Authorized official

Name
Dr. Matthew Karstan Lewis, D.C.NPI 1275615452
Title
Owner
Phone
(270) 320-7515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH6417 FL Primary

Addresses

Primary practice location

510 County Road 466
Suite 104B
Lady Lake, FL 32159-9999

Mailing address

510 County Road 466
Suite 104B
Lady Lake, FL 32159-6341
Phone (270) 320-7515

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1588068951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 COUNTY ROAD 466",
            "address_2": "SUITE 104B",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321596341",
            "telephone_number": "270-320-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 COUNTY ROAD 466",
            "address_2": "SUITE 104B",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321599999",
            "telephone_number": "270-320-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS CHIROPRACTIC GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "KARSTAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-320-7515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.