Lake Martin Chiropractic Health Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2516 Issued in AL

Legal business name

LAKE MARTIN CHIROPRACTIC HEALTH CENTER, LLC

Practice address

8341 Kowaliga Rd
Eclectic, AL 36024-3749

Phone

(334) 458-2633

NPI assigned

Aug 14, 2017

Last updated

Dec 11, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ryan M Peaden, DCNPI 1760934202

Title

Chiropractor/ DC/ Owner

Phone

(334) 458-2633

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

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.

• Ryan Peaden, D.C.

  • Chiropractor
  • Eclectic, AL
  • NPI 1760934202
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512950400000",
    "number": "1013433861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8341 KOWALIGA RD",
            "city": "ECLECTIC",
            "state": "AL",
            "postal_code": "360243749",
            "telephone_number": "334-458-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8341 KOWALIGA RD",
            "city": "ECLECTIC",
            "state": "AL",
            "postal_code": "360243749",
            "telephone_number": "334-458-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MARTIN CHIROPRACTIC HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2017-12-11",
        "status": "A",
        "authorized_official_last_name": "PEADEN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR/ DC/ OWNER",
        "authorized_official_telephone_number": "334-458-2633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eclectic Family Care, LLC
• Eclectic Family Pharmacy, Inc.
• Donald Gary Hawkins, M.D.
• Health Services Inc (Eclectic Family Health Center)
• Teresa B Hodge, PA-C
• Teresa Lynn Lett, R.PH., RRT
• Gary Lee McCulloch Sr., MD
• Kelly Mooney
• Tim Allen Needham, DDS
• Morgan Tew Norris

• Chiropractor in Eclectic, AL
• Providers in Eclectic, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; 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.