Active NPI
Lynn T Powell, D.C.
- Chiropractor
- Merrillville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08001720A
- Practice address
- 8500 Broadway
Suite a
Merrillville, IN 46410-7055 - Phone
- (219) 738-1925
- NPI assigned
- Aug 31, 2006
- 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 | 08001720A | IN | Primary |
Addresses
Primary practice location
8500 Broadway
Suite a
Merrillville, IN 46410-7055
Mailing address
8500 Broadway
Suite a
Merrillville, IN 46410-7055
Phone (219) 738-1925
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 606174 | Other | IN | ACN |
| 000000093263 | Other | IN | BLUE CROSS/BLUE SHIELD |
| 7354080 | Other | IN | AETNA |
| 20016660A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9111 Broadway
Suite Aa
Merrillville, IN 46410-7011
Phone (219) 738-1925
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08001720A | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Management Associates, P.C. | Chiropractor | Current | Accepting new patients |
Locations
8500 Broadway
Ste A
Merrillville, IN 46410
Phone (219) 738-1925
9111 Broadway
Ste Aa
Merrillville, IN 46410
Phone (219) 736-1928
Organizations & group practices 1
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.
-
dba Integrated Chiropractic Rehabilitation
- Chiropractor
- Merrillville, IN
- NPI 1104017367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881705218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8500 BROADWAY",
"address_2": "SUITE A",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464107055",
"telephone_number": "219-738-1925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8500 BROADWAY",
"address_2": "SUITE A",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464107055",
"telephone_number": "219-738-1925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "LYNN",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08001720A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "606174",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "000000093263",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7354080",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20016660A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merrillville, IN
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.