Organization Active NPI

Lewis Health Enterprises LLC

  • Chiropractor
  • Jefferson, WI
National Provider Identifier
1922540764
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2506-012 Issued in WI
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

Updated by the provider on Dec 19, 2024

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.NPI 1700964228
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1700964228OtherNPI
000070561OtherMEDICARE PTAN

Other names 1

  • Central Jefferson Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170117002458 WI Part B Supplier - Clinic/Group Practice 6507148087 Receives reassigned benefits from 1 practitioner
Practice locations: Jefferson, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.