Individual provider Active NPI

Jacob Lyhne, D.C.

  • Chiropractor
  • Danville, CA
National Provider Identifier
1689690372
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 29369 Issued in CA
Practice address
801 San Ramon Valley Blvd Ste B
Danville, CA 94526-4027
Phone
(925) 820-1500
Fax
(925) 820-5175
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 29369 CA Primary

Addresses

Primary practice location

801 San Ramon Valley Blvd Ste B
Danville, CA 94526-4027

Mailing address

801 San Ramon Valley Blvd Ste B
Danville, CA 94526-4027
Phone (925) 820-1500

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 29369CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689690372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SAN RAMON VALLEY BLVD STE B",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264027",
            "telephone_number": "925-820-1500",
            "fax_number": "925-820-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SAN RAMON VALLEY BLVD STE B",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264027",
            "telephone_number": "925-820-1500",
            "fax_number": "925-820-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYHNE",
        "first_name": "JACOB",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 29369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.