Organization Active NPI

Lakes Family Chiropractic

  • Chiropractor
  • Spirit Lake, IA
National Provider Identifier
1245551357
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007283 Issued in IA
Legal business name
LAKES FAMILY CHIROPRACTIC
Practice address
3301 Highway 71
Suite 1
Spirit Lake, IA 51360-7634
Phone
(712) 336-1119
Fax
(712) 336-4980
NPI assigned
Jun 14, 2010
Last updated
Jun 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Authorized official

Name
Dr. Ann E Benedict, D.C.
Title
Owner
Phone
(507) 227-0542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007283 IA Primary

Addresses

Primary practice location

3301 Highway 71
Suite 1
Spirit Lake, IA 51360-7634

Mailing address

3301 Highway 71
Suite 1
Spirit Lake, IA 51360-7634
Phone (712) 336-1119

Other identifiers 1

IdentifierTypeStateIssuer
1649594300MedicaidIA

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": "1276473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1245551357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 HIGHWAY 71",
            "address_2": "SUITE 1",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513607634",
            "telephone_number": "712-336-1119",
            "fax_number": "712-336-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 HIGHWAY 71",
            "address_2": "SUITE 1",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513607634",
            "telephone_number": "712-336-1119",
            "fax_number": "712-336-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "BENEDICT",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-227-0542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649594300",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spirit Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.