Active NPI
Brian P Lynch, D.C.
- Chiropractor
- Lebanon, OR
National Provider Identifier
1689792343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2713
- Practice address
- 178 Park St
Lebanon, OR 97355-4224 - Phone
- (541) 258-8151
- Fax
- (541) 259-1626
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2713 | OR | Primary |
Addresses
Primary practice location
178 Park St
Lebanon, OR 97355-4224
Mailing address
178 Park St
Lebanon, OR 97355-4224
Phone (541) 258-8151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00359783 | Other | OR | RAILROAD MEDICARE I.D. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120305000528 | OR | Practitioner - Chiropractic | 3274792619 | Practice locations: Lebanon, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
178 Park St
Lebanon, OR 97355-4224
Phone (541) 258-8151
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689792343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "178 PARK ST",
"city": "LEBANON",
"state": "OR",
"postal_code": "973554224",
"telephone_number": "541-258-8151",
"fax_number": "541-259-1626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 PARK ST",
"city": "LEBANON",
"state": "OR",
"postal_code": "973554224",
"telephone_number": "541-258-8151",
"fax_number": "541-259-1626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "BRIAN",
"middle_name": "P",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "2713",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE I.D.",
"identifier": "P00359783",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, OR
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.
- 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.