Organization Active NPI

Lynch Clinic of Chiropractic, P.C.

  • Chiropractor
  • Charlottesville, VA
National Provider Identifier
1730395880
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
05437330 Issued in VA
Legal business name
LYNCH CLINIC OF CHIROPRACTIC, P.C.
Practice address
1410 Incarnation Dr
Suite 202C
Charlottesville, VA 22901-5708
Phone
(434) 245-8456
Fax
(434) 245-8457
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Keith Patrick Lynch, D.C.NPI 1245447747
Title
President
Phone
(434) 245-8456

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 05437330 VA Primary

Addresses

Primary practice location

1410 Incarnation Dr
Suite 202C
Charlottesville, VA 22901-5708

Mailing address

1410 Incarnation Dr
Suite 202C
Charlottesville, VA 22901-5708
Phone (434) 245-8456

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040728001558 VA Part B Supplier - Clinic/Group Practice 3375513138 Receives reassigned benefits from 1 practitioner
Practice locations: Charlottesville, VA

National Provider Directory

National Provider Directory

Locations

1410 Incarnation Dr
Ste 2
Charlottesville, VA 22901

1410 Incarnation Dr
Ste 202C
Charlottesvle, VA 22901
Phone (434) 245-8456

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1730395880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 INCARNATION DR",
            "address_2": "SUITE 202C",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229015708",
            "telephone_number": "434-245-8456",
            "fax_number": "434-245-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 INCARNATION DR",
            "address_2": "SUITE 202C",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229015708",
            "telephone_number": "434-245-8456",
            "fax_number": "434-245-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNCH CLINIC OF CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-245-8456",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "05437330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.