Lakeside Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LAKESIDE CHIROPRACTIC LLC

Practice address

6885 Boudin St NE Ste 200
Prior Lake, MN 55372-2091

Phone

(651) 583-8971

Fax

(612) 712-3023

NPI assigned

Jun 14, 2024

Organization subpart

No

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

Authorized official

Name

Connor Thomas Wears, DC

Title

Owner

Phone

(651) 583-8971

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.

• Cole Steven Steinhagen, DC

  • Chiropractor
  • Prior Lake, MN
  • NPI 1982477022
  NPD

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1144063447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20723 HAMPSHIRE CIR",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550444669",
            "telephone_number": "651-583-8971",
            "fax_number": "612-712-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6885 BOUDIN ST NE STE 200",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553722091",
            "telephone_number": "651-583-8971",
            "fax_number": "612-712-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "WEARS",
        "authorized_official_first_name": "CONNOR",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-583-8971",
        "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": []
}

• Sarah Kay Kretman, PT, DPT, NCS
• Erinn Kroeger, LADC, LSW
• Victoria Kubes
• Mandy Labrosse, PT
• Alexa Laing-Taylor, PHYSICIAN ASSISTANT
• Land of Lakes Transportation LLC
• Amy Larson, NP
• Laskubera Homecare LLC
• Robert D Lehrer, MD
• Life Dynamics Inc

• Chiropractor in Prior Lake, MN
• Providers in Prior Lake, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.