Individual provider Active NPI

Trevor L Lyons, DC

  • Chiropractor
  • Cashton, WI
National Provider Identifier
1831494301
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4696-012 Issued in WI
Practice address
238 Front St
Cashton, WI 54619-2002
Phone
(608) 654-5100
Fax
(608) 654-5120
NPI assigned
Jan 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4696-012 WI Primary

Addresses

Primary practice location

238 Front St
Cashton, WI 54619-2002

Mailing address

PO Box 39
Cashton, WI 54619-0039
Phone (608) 654-5100

Other practice location 1

200 W North St
Norwalk, WI 54648-8287
Phone (086) 545-1006

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110330000343 WI Practitioner - Chiropractic 7214110147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scenic Bluffs Health Center IncGroup PAC ID 8325098296, 19 clinicians

Practice addresses (Care Compare)

238 Front St
Cashton, WI 54619-2002
Phone (608) 654-5100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4696-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Scenic Bluffs Health Center, Inc CurrentSince Feb 1, 2011 Accepting new patients
Scenic Bluffs Health Center, Inc. CurrentSince Feb 1, 2011 Accepting new patients

Locations

212 11th St S
La Crosse, WI 54601
Phone (608) 392-9555

200 W North St
Norwalk, WI 54648
Phone 6086545100 ext. 226

Organizations & group practices 2

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": "1294963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1831494301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39",
            "city": "CASHTON",
            "state": "WI",
            "postal_code": "546190039",
            "telephone_number": "608-654-5100",
            "fax_number": "608-654-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 FRONT ST",
            "city": "CASHTON",
            "state": "WI",
            "postal_code": "546192002",
            "telephone_number": "608-654-5100",
            "fax_number": "608-654-5120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W North St",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "WI",
            "postal_code": "546488287",
            "country_code": "US",
            "telephone_number": "086-545-1006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYONS",
        "first_name": "TREVOR",
        "middle_name": "L",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-14",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4696-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cashton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.

Verify at the official NPI Registry.