Individual provider Active NPI

John R Lynady III, D.C.

  • Chiropractor
  • Lake Mary, FL
National Provider Identifier
1669407359
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7695 Issued in FL
Practice address
250 Waymont CT
Suite 100
Lake Mary, FL 32746-6747
Phone
(407) 422-1553
Fax
(407) 422-1553
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7695 FL Primary

Addresses

Primary practice location

250 Waymont CT
Suite 100
Lake Mary, FL 32746-6747

Mailing address

250 Waymont CT
Suite 100
Lake Mary, FL 32746-6747
Phone (407) 422-1553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH7695FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1669407359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 WAYMONT CT",
            "address_2": "SUITE 100",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466747",
            "telephone_number": "407-422-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WAYMONT CT",
            "address_2": "SUITE 100",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466747",
            "telephone_number": "407-422-1553",
            "fax_number": "407-422-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNADY",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.