Active NPI
Lakelands Holding, LLC
Doing business as Lakelands Chiropractic
- Chiropractor
- Greenwood, SC
National Provider Identifier
1255569158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1337
- Legal business name
- LAKELANDS HOLDING, LLC
- Doing business as
- Lakelands Chiropractic
- Practice address
- 712B Montague Ave
Greenwood, SC 29649-1439 - Phone
- (864) 223-2663
- NPI assigned
- Jun 30, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles H Weston Jr., DC
- Title
- President
- Phone
- (864) 223-2663
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1337 | SC | Primary |
Addresses
Primary practice location
712B Montague Ave
Greenwood, SC 29649-1439
Mailing address
712B Montague Ave
Greenwood, SC 29649-1439
Phone (864) 223-2663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CS 1337 | Medicaid | SC |
Other names 1
- Lakelands Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
712B Montague Ave
Greenwood, SC 29649
Phone (864) 223-2663
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Chiropractor
- Greenwood, SC
- NPI 1023182441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252540800000",
"number": "1255569158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712B MONTAGUE AVE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296491439",
"telephone_number": "864-223-2663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712B MONTAGUE AVE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296491439",
"telephone_number": "864-223-2663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKELANDS HOLDING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-30",
"last_updated": "2009-09-10",
"status": "A",
"authorized_official_last_name": "WESTON",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "864-223-2663",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "SC",
"license": "1337",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CS 1337",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lakelands Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greenwood, SC
- Corrie Labelle
- Laboratory Corporation of America Holdings
- Ricky Alan Ladd, M.D.
- Leanne Elizabeth Lagroon
- Makayla Laign, PHARMD
- Lakelands Nephrology PA
- Lakelands Nurse Anesthesia Services,LLC
- Lakelands Nutrition Counseling LLC (Lakeland Nutrtion Counseling)
- Lakelands Orthopaedic Clinic PA
- Sumeer Lal, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.