Organization Active NPI

Jeffery E. Lewis, D.C.

Doing business as Family Chiropractic Center

  • Chiropractor
  • Magnolia, AR
National Provider Identifier
1639185481
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1645 Issued in AR
Legal business name
JEFFERY E. LEWIS, D.C.
Doing business as
Family Chiropractic Center
Practice address
212 South Washington
Magnolia, AR 71753-2654
Phone
(870) 235-3100
Fax
(870) 235-3101
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Dr. Jeffrey Edward Lewis, D.C.NPI 1396743845
Title
Owner
Phone
(870) 235-3100

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 1645 AR Primary

Addresses

Primary practice location

212 South Washington
Magnolia, AR 71753-2654

Mailing address

212 South Washington
Magnolia, AR 71753-2654
Phone (870) 235-3100

Other identifiers 1

IdentifierTypeStateIssuer
5F325OtherARBCBS PIN

Other names 1

  • Family Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080715000281 AR Part B Supplier - Clinic/Group Practice 7719050491 Receives reassigned benefits from 1 practitioner
Practice locations: Magnolia, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2155022Family Chiropractic Center212 S Washington, Magnolia, AR 71753Certificate of waiverSep 20, 2026

National Provider Directory

National Provider Directory

Locations

212 S Washington
Magnolia, AR 71753
Phone (870) 235-3100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1639185481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 SOUTH WASHINGTON",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717532654",
            "telephone_number": "870-235-3100",
            "fax_number": "870-235-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 SOUTH WASHINGTON",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717532654",
            "telephone_number": "870-235-3100",
            "fax_number": "870-235-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERY E. LEWIS, D.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-235-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "5F325",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Magnolia, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.