Organization Active NPI

Lewis Chiropractic LLC

  • Chiropractor
  • Nampa, ID
National Provider Identifier
1932384898
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA722 Issued in ID
Legal business name
LEWIS CHIROPRACTIC LLC
Doing business as
Lewis Chiropractic LLC
Practice address
16017 Idaho Center Blvd
Nampa, ID 83687-5010
Phone
(208) 461-4430
Fax
(208) 461-4326
NPI assigned
Jan 9, 2008
Last updated
Jan 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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

Authorized official

Name
Dr. Kasey K Lewis, DCNPI 1033230958
Title
Chiropractor/Owner
Phone
(208) 461-4430

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIA722 ID Primary
Health Service Clinic/Center 261QH0100X CHIA722 ID

Addresses

Primary practice location

16017 Idaho Center Blvd
Nampa, ID 83687-5010

Mailing address

16017 Idaho Center Blvd
Nampa, ID 83687-5010
Phone (208) 461-4430

Other names 1

  • Lewis Chiropractic LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180112000771 ID Part B Supplier - Clinic/Group Practice 7618236928 Receives reassigned benefits from 1 practitioner
Practice locations: Nampa, ID

National Provider Directory

National Provider Directory

Locations

4900 N Rosepoint Way
Ste B
Boise, ID 83713
Phone (208) 377-3335

16017 Idaho Center Blvd
Nampa, ID 83687
Phone (208) 461-4430

11152 W State St
Star, ID 83669
Phone (208) 377-3335

Practitioners & affiliated clinicians

Practitioners 1

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": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515628800000",
    "number": "1932384898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16017 IDAHO CENTER BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836875010",
            "telephone_number": "208-461-4430",
            "fax_number": "208-461-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16017 IDAHO CENTER BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836875010",
            "telephone_number": "208-461-4430",
            "fax_number": "208-461-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2018-01-11",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KASEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "208-461-4430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA722",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "ID",
            "license": "CHIA722",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lewis Chiropractic LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.