Active NPI
Lewisburg Family Chiropractic
- Clinic/Center
- Lewisburg, PA
National Provider Identifier
1902296254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- DC010975
- 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, 2018
- Organization subpart
- Yes
- Parent organization
- LIVE WELL ADJUSTED
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony Dewald, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Lewisburg, PA
- NPI 1780084053
-
- Chiropractor
- Millville, PA
- NPI 1265546436
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.