Individual provider Active NPI

Ankur Prakash, D.C.

  • Chiropractor
  • Raleigh, NC
National Provider Identifier
1053434860
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4479 Issued in NC
Practice address
4601 Lake Boone TRL Ste 2H
Raleigh, NC 27607-7530
Phone
(919) 926-8890
Fax
(919) 590-1825
NPI assigned
Apr 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4479 NC Primary

Addresses

Primary practice location

4601 Lake Boone TRL Ste 2H
Raleigh, NC 27607-7530

Mailing address

4601 Lake Boone TRL Ste 2H
Raleigh, NC 27607-7530
Phone (919) 926-8890

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200106002173 NC Practitioner - Chiropractic 7416918065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LWB Associates PLLCGroup PAC ID 4789014077, 2 clinicians

Practice addresses (Care Compare)

4601 Lake Boone TRL
Suite 2H
Raleigh, NC 27607-7530
Phone (919) 926-8890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4479NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
LWB Associates PLLC CurrentSince Apr 16, 2020 Accepting new patients

Locations

4600 Lake Boone Trl
Ste 210
Raleigh, NC 27607
Phone (919) 678-3286

4601 Lake Boone Trl
Ste 2H
Raleigh, NC 27607
Phone (919) 926-8890

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1053434860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 LAKE BOONE TRL STE 2H",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077530",
            "telephone_number": "919-926-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 LAKE BOONE TRL STE 2H",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077530",
            "telephone_number": "919-926-8890",
            "fax_number": "919-590-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAKASH",
        "first_name": "ANKUR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-08",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.