Organization Active NPI

Lakeside Chiropractic, P.C.

  • Chiropractor
  • Iron Mountain, MI
National Provider Identifier
1265595227
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301002049 Issued in MI
Legal business name
LAKESIDE CHIROPRACTIC, P.C.
Practice address
724 Carpenter Ave
Iron Mountain, MI 49801-3306
Phone
(906) 774-8359
Fax
(906) 774-8461
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bruce B. Franks, D.C.
Title
President
Phone
(906) 774-4439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301002049 MI Primary

Addresses

Primary practice location

724 Carpenter Ave
Iron Mountain, MI 49801-3306

Mailing address

1002 E Grant St
Iron Mountain, MI 49801-1732
Phone (906) 774-4439

National Provider Directory

National Provider Directory

Locations

724 Carpenter Ave
Iron Mountain, MI 49801
Phone (906) 774-6359

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265595227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 E GRANT ST",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498011732",
            "telephone_number": "906-774-4439",
            "fax_number": "906-774-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 CARPENTER AVE",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013306",
            "telephone_number": "906-774-8359",
            "fax_number": "906-774-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRANKS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "906-774-4439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301002049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iron Mountain, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.