Organization Active NPI

Lewisburg Family Chiropractic

  • Clinic/Center
  • Lewisburg, PA
National Provider Identifier
1902296254
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
DC010975 Issued in PA
Legal business name
LEWISBURG FAMILY CHIROPRACTIC
Practice address
200 Market St
Lewisburg, PA 17837
Phone
(570) 523-9609
Fax
(570) 300-1888
NPI assigned
Jan 26, 2015
Last updated
Jul 30, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
LIVE WELL ADJUSTEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Authorized official

Name
Dr. Anthony Dewald, DCNPI 1780084053
Title
Doctor of Chiropractic
Phone
(570) 523-9609

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
Clinic/Center 261Q00000X DC010975 PA Primary

Addresses

Primary practice location

200 Market St
Lewisburg, PA 17837

Mailing address

200 Market St
Lewisburg, PA 17837-1544
Phone (570) 523-9609

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150520000082 PA Part B Supplier - Clinic/Group Practice 1456671205 Receives reassigned benefits from 2 practitioners
Practice locations: Turbotville, PA

National Provider Directory

National Provider Directory

Locations

200 Market St
Lewisburg, PA 17837
Phone (570) 337-8912

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1902296254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MARKET ST",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178371544",
            "telephone_number": "570-523-9609",
            "fax_number": "570-300-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MARKET ST",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "17837",
            "telephone_number": "570-523-9609",
            "fax_number": "570-300-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISBURG FAMILY CHIROPRACTIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIVE WELL ADJUSTED",
        "enumeration_date": "2015-01-26",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "DEWALD",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "570-523-9609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "DC010975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.