Lakeside Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LAKESIDE CHIROPRACTIC

Practice address

245 Campsite Road
Mount Nebo, WV 26679

Phone

(304) 619-1912

Fax

(304) 872-4143

NPI assigned

Oct 6, 2009

Last updated

Oct 6, 2009By 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

Nunzio P Pagano Sr., DC

Title

Sole Member

Phone

(304) 619-1912

Specialties & licenses 1

Addresses

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.

• Zachary John-Steven Knowlton, DC

  • Chiropractor
  • New Martinsville, WV
  • NPI 1487128245
  NPD

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1093040289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 353",
            "city": "MOUNT NEBO",
            "state": "WV",
            "postal_code": "266790353",
            "telephone_number": "304-619-1912",
            "fax_number": "304-872-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 CAMPSITE ROAD",
            "city": "MOUNT NEBO",
            "state": "WV",
            "postal_code": "26679",
            "telephone_number": "304-619-1912",
            "fax_number": "304-872-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "PAGANO",
        "authorized_official_first_name": "NUNZIO",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "304-619-1912",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Knight
• Robbie P Knotts
• Carrie Kyer
• Kenneth R Lafferty
• Avis Lake
• Jill Lawson
• Whitney Luna Ledsome
• Christopher L Lewis
• Meaghan Lewis
• Alexandria Linkswiler

• Chiropractor in Mount Nebo, WV
• Providers in Mount Nebo, WV by specialty
• Chiropractor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.