Matthew C. Lake, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

899 Issued in MT

Practice address

505 1St Ave E
Kalispell, MT 59901-4939

Phone

(406) 755-1117

NPI assigned

Apr 20, 2007

Last updated

Oct 5, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Lake's Family Chiropractic, P.C.

  • Chiropractor
  • Kalispell, MT
  • NPI 1992051775
  Authorized official Same address or phone
• Pisk Chiropractic & Physiotherapy PC

  • Chiropractor
  • Kalispell, MT
  • NPI 1518089077
  NPD (past)
• Pisk Chiropractic PLLC

  dba Wilson Chiropractic Clinic

  • Chiropractor
  • Whitefish, MT
  • NPI 1063829307
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1053538884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 1ST AVE E",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014939",
            "telephone_number": "406-755-1117",
            "fax_number": "406-755-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 1ST AVE E",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014939",
            "telephone_number": "406-755-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "MATTHEW",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "41483",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabrina Kuzio-James, LCPC
• Jessica Kyser, M.S.W., L.C.S.W.
• Tyler Reid Lacy, PT
• Crystal Lair
• Tonya Jane Laird, RDN
• Lake's Family Chiropractic, P.C.
• Scott Warren Lampshire, DC
• Lange Counseling, LLC
• David Ernst Lange, M.A., LCPC
• Lauren Louise Langmead, L.C.P.C.

• Chiropractor in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Chiropractor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.