NPIMap

Organization Active NPI

Daniel J Thomas DC

Doing business as Lakeside Chiropractic

  • Chiropractor
  • East Jordan, MI
National Provider Identifier
1134549553
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004661 Issued in MI
Legal business name
DANIEL J THOMAS DC
Doing business as
Lakeside Chiropractic
Practice address
101 Bridge St
East Jordan, MI 49727-9301
Phone
(231) 536-2616
NPI assigned
Apr 24, 2014
Last updated
Apr 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Authorized official

Name
Dr. Daniel James Thomas, DCNPI 1891893418
Title
Owner
Phone
(231) 536-2616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301004661 MI Primary

Addresses

Primary practice location

101 Bridge St
East Jordan, MI 49727-9301

Mailing address

101 Bridge St
PO Box 602
East Jordan, MI 49727-9301
Phone (231) 536-2616

Other identifiers 1

IdentifierTypeStateIssuer
1609934MedicaidMI

Other names 1

  • Lakeside Chiropractic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1134549553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BRIDGE ST",
            "address_2": "PO BOX 602",
            "city": "EAST JORDAN",
            "state": "MI",
            "postal_code": "497279301",
            "telephone_number": "231-536-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BRIDGE ST",
            "city": "EAST JORDAN",
            "state": "MI",
            "postal_code": "497279301",
            "telephone_number": "231-536-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL J THOMAS DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-536-2616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609934",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Jordan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.