Active NPI
Lewis Donald Blevins II, DC
- Chiropractor
- St Charles, IL
National Provider Identifier
1841508637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038011770
- Practice address
- 525 Tyler Rd
Suite a
St Charles, IL 60174-3305 - Phone
- (630) 524-2445
- Fax
- (630) 443-3209
- NPI assigned
- Sep 15, 2010
- 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 | 038011770 | IL | Primary |
Addresses
Primary practice location
525 Tyler Rd
Suite a
St Charles, IL 60174-3305
Mailing address
525 Tyler Rd
Suite a
St Charles, IL 60174-3305
Phone (313) 492-9136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
920 W Prairie Dr
Suite J
Sycamore, IL 60178-3123
Phone (815) 895-3354
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Medical Management LTD | Chiropractor | Current | Accepting new patients |
| Sycamore Integrated Health, LTD | Chiropractor | Current | Accepting new patients |
| Team Blevins Enterprises | Current | Accepting new patients |
Locations
246 E Janata Blvd
Ste 210
Lombard, IL 60148
Phone (331) 214-8898
Organizations & group practices 3
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.
-
- Chiropractor
- Sycamore, IL
- NPI 1942547229
-
- Clinic/Center
- Lombard, IL
- NPI 1194515759
-
dba Family Chiropractic
- Family Medicine Physician
- Terre Haute, IN
- NPI 1518558055
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284508800000",
"number": "1841508637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 TYLER RD",
"address_2": "SUITE A",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601743305",
"telephone_number": "313-492-9136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 TYLER RD",
"address_2": "SUITE A",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601743305",
"telephone_number": "630-524-2445",
"fax_number": "630-443-3209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLEVINS",
"first_name": "LEWIS",
"middle_name": "DONALD",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-15",
"last_updated": "2010-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038011770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.