Organization Active NPI

Lea Lawson Chiropractic

  • Chiropractor
  • New Albany, IN
National Provider Identifier
1629295514
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LEA LAWSON CHIROPRACTIC
Doing business as
CHARLESTOWN ROAD CHIROPRACTIC
Practice address
4602 Charlestown Rd
New Albany, IN 47150-9557
Phone
(812) 944-4455
Fax
(812) 944-4457
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Authorized official

Name
Dr. Lea R Koons, D.C.NPI 1770685745
Title
President
Phone
(812) 944-4457

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 Primary

Addresses

Primary practice location

4602 Charlestown Rd
New Albany, IN 47150-9557

Mailing address

4602 Charlestown Rd
New Albany, IN 47150-9557
Phone (812) 944-4455

Other practice location 1

4510 Charlestown Rd
Suite 700
New Albany, IN 47150-8513
Phone (812) 944-4455

Other identifiers 1

IdentifierTypeStateIssuer
200468480AMedicaidIN

Other names 1

  • CHARLESTOWN ROAD CHIROPRACTIC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address leakoons@att.net Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051130000935 IN Part B Supplier - Clinic/Group Practice 2365462702 Receives reassigned benefits from 1 practitioner
Practice locations: New Albany, IN

National Provider Directory

National Provider Directory

Locations

4510 Charlestown Rd
Ste 700
New Albany, IN 47150
Phone (812) 944-4455

4602 Charlestown Rd
New Albany, IN 47150
Phone (812) 944-4455

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": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1629295514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 CHARLESTOWN RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509557",
            "telephone_number": "812-944-4455",
            "fax_number": "812-944-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 CHARLESTOWN RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509557",
            "telephone_number": "812-944-4455",
            "fax_number": "812-944-4457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4510 Charlestown Rd",
            "address_2": "Suite 700",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471508513",
            "country_code": "US",
            "telephone_number": "812-944-4455",
            "fax_number": "812-944-4457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEA LAWSON CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "KOONS",
        "authorized_official_first_name": "LEA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-944-4457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200468480A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leakoons@att.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "4602 Charlestown Rd",
            "city": "New Albany",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471509557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CHARLESTOWN ROAD CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.