Individual provider Active NPI

Stanley Brian Lewchuk, DC

  • Chiropractor
  • Spokane, WA
National Provider Identifier
1801033030
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034168 Issued in WA
Practice address
12310 N Division St
Suite 105
Spokane, WA 99218-1998
Phone
(509) 710-2924
Fax
(509) 464-0578
NPI assigned
Jan 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034168 WA Primary

Addresses

Primary practice location

12310 N Division St
Suite 105
Spokane, WA 99218-1998

Mailing address

12310 N Division St
Suite 105
Spokane, WA 99218-1998
Phone (509) 710-2924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090512000437 WA Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 0547319055 Practice locations: Deer Park, WA; Spokane, WA

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Canadian Memorial Chiropractic College, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

905 E D St
Deer Park, WA 99006-5167
Phone (509) 710-2924

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Chiropractic PLLC Chiropractor PastSince Jun 25, 2023 Accepting new patients
Eric Dudenhofer Arnp PS PastSince Jan 15, 2017 Accepting new patients
Macdonald Chiropractic LLC Chiropractor PastSince Jan 13, 2015 Accepting new patients
Eastside Chiropractic Chiropractor PastSince Jan 1, 1990 Accepting new patients
West Plains Chiropractic, PS Chiropractor PastSince Jan 3, 2003 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1801033030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12310 N DIVISION ST",
            "address_2": "SUITE 105",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181998",
            "telephone_number": "509-710-2924",
            "fax_number": "509-464-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12310 N DIVISION ST",
            "address_2": "SUITE 105",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181998",
            "telephone_number": "509-710-2924",
            "fax_number": "509-464-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWCHUK",
        "first_name": "STANLEY",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-09",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.