Active NPI
Lewis Health Enterprises LLC
- Chiropractor
- Jefferson, WI
National Provider Identifier
1922540764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2506-012
- Legal business name
- LEWIS HEALTH ENTERPRISES LLC
- Doing business as
- Central Jefferson Chiropractic
- Practice address
- 202 N Main St
Jefferson, WI 53549-1149 - Phone
- (920) 674-5025
- Fax
- (920) 674-5253
- NPI assigned
- Nov 10, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alan Paul Lewis, D.C.
- Title
- Owner/Doctor
- Phone
- (920) 988-9265
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2506-012 | WI | Primary |
Addresses
Primary practice location
202 N Main St
Jefferson, WI 53549-1149
Mailing address
1015 S 8TH St
Watertown, WI 53094-4742
Phone (920) 262-1877
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700964228 | Other | NPI | |
| 000070561 | Other | MEDICARE PTAN |
Other names 1
- Central Jefferson Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Jefferson, WI
- NPI 1700964228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734566400000",
"number": "1922540764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 S 8TH ST",
"city": "WATERTOWN",
"state": "WI",
"postal_code": "530944742",
"telephone_number": "920-262-1877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 N MAIN ST",
"city": "JEFFERSON",
"state": "WI",
"postal_code": "535491149",
"telephone_number": "920-674-5025",
"fax_number": "920-674-5253"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEWIS HEALTH ENTERPRISES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-10",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "OWNER/DOCTOR",
"authorized_official_telephone_number": "920-988-9265",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": "2506-012",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1700964228",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "000070561",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Central Jefferson Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jefferson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.