Active NPI
Charles R. Lemon DC, DC, DACBN
- Chiropractor
- Beaver, PA
National Provider Identifier
1962462697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC00416L
- Practice address
- 265 3Rd St
Beaver, PA 15009-2350 - Phone
- (724) 774-6333
- Fax
- (724) 774-8844
- NPI assigned
- Mar 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | DC-OO4164-L | PA | |
| Chiropractor | 111N00000X | DC00416L | PA | Primary |
Addresses
Primary practice location
265 3Rd St
Beaver, PA 15009-2350
Mailing address
265 3Rd St
Beaver, PA 15009-2350
Phone (724) 774-6333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000171659600 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC00416L | PA | MD | Chiropractor |
| DC-OO4164-L | PA | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203379200000",
"number": "1962462697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 3RD ST",
"city": "BEAVER",
"state": "PA",
"postal_code": "150092350",
"telephone_number": "724-774-6333",
"fax_number": "724-774-8844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 3RD ST",
"city": "BEAVER",
"state": "PA",
"postal_code": "150092350",
"telephone_number": "724-774-6333",
"fax_number": "724-774-8844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMON DC",
"first_name": "CHARLES",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "DC, DACBN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-25",
"last_updated": "2008-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PA",
"license": "DC-OO4164-L",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC00416L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000171659600",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beaver, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.