DR. DAVID JEFFREY LEWIS (D.C.) – Chiropractor, NPI 1104968742

DR. DAVID JEFFREY LEWIS (D.C.) is a healthcare provider. based in Forest lake, Minnesota. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 1622 (MN). The NPI Number for DR. DAVID JEFFREY LEWIS (D.C.) is 1104968742

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID JEFFREY LEWIS (D.C.)
NPI
1104968742
Phone
(651) 464-2133
Address
591 N SHORE DR
Enumeration Date
12 February 2007
Last Update Date
8 August 2012

Doctor Profile

Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Secondary Phone
-
Graduation Year
1979 (47 years ago)
PAC ID
6709070386
Group Practice PAC ID
6901090687
Professional Enrollment ID
I20101027000973
Address ID
MN550251217Fo591XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,649 CHIROPRACTIC in MN

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Provider Addresses for DR. DAVID JEFFREY LEWIS (D.C.)

  • 591, North Shore Drive, Forest Lake, Washington County, Minnesota, 55025, United States

    FOREST LAKE, MN 550251217

    Phone: (651) 464-2133

    Fax: (651) 982-6903

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-10-27

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101027000973IChiropracticMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55025)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901090687View full group profile
NameSpecialtyState
C H I R O P R A C T I CMN

Reviews

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Frequently asked questions

What identifier follows DR. DAVID JEFFREY LEWIS (D.C.) across health systems?
The NPI 1104968742 uniquely identifies DR. DAVID JEFFREY LEWIS (D.C.) in U.S. healthcare data.
Should I treat DR. DAVID JEFFREY LEWIS (D.C.) as an active provider?
Patients and plans typically see DR. DAVID JEFFREY LEWIS (D.C.) as active in the national extract.
How should patients interpret DR. DAVID JEFFREY LEWIS (D.C.)'s specialty?
The extract shows Chiropractor for DR. DAVID JEFFREY LEWIS (D.C.). Clinical services aligned with this taxonomy classification.
What city is tied to DR. DAVID JEFFREY LEWIS (D.C.)?
The directory associates DR. DAVID JEFFREY LEWIS (D.C.) with Forest Lake, Minnesota. Check all listed addresses for suites or satellite offices.
Can I export DR. DAVID JEFFREY LEWIS (D.C.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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