NPIMap

Organization Active NPI

Lake Plaza Acupuncture and Chiropractic LLC

  • Acupuncturist
  • Colorado Springs, CO
National Provider Identifier
1093386419
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
LAKE PLAZA ACUPUNCTURE AND CHIROPRACTIC LLC
Practice address
2860 S Circle Dr Ste 250a
Colorado Springs, CO 80906-4113
Phone
(719) 900-3009
Fax
(719) 931-1351
NPI assigned
Jul 7, 2021
Last updated
Oct 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Eric Smith
Title
Owner
Phone
(719) 900-3009

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU
Acupuncturist 171100000X NU Primary
Massage Therapist 225700000X NU

Addresses

Primary practice location

2860 S Circle Dr Ste 250a
Colorado Springs, CO 80906-4113

Mailing address

2860 S Circle Dr Ste 250
Colorado Springs, CO 80906-4132
Phone (719) 900-3009

National Provider Directory

National Provider Directory

Locations

1025 W Colorado Ave
Colorado Springs, CO 80904
Phone (719) 963-3589

2860 S Circle Dr
Ste 250
Colorado Springs, CO 80906
Phone (719) 233-8505

2860 S Circle Dr
Ste 250A
Colorado Springs, CO 80906
Phone (719) 900-3009

582 Columbia Ave
Del Norte, CO 81132

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1093386419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 S CIRCLE DR STE 250",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064132",
            "telephone_number": "719-900-3009",
            "fax_number": "719-931-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 S CIRCLE DR STE 250A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064113",
            "telephone_number": "719-900-3009",
            "fax_number": "719-931-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE PLAZA ACUPUNCTURE AND CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-900-3009"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.