Lake Square Chiropractic, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LAKE SQUARE CHIROPRACTIC, P.A.

Practice address

32629 Blossom LN
Leesburg, FL 34788-3907

Phone

(352) 326-2481

NPI assigned

Jul 14, 2020

Last updated

Jul 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nathaniel Biegler, DCNPI 1215562145

Title

President/Owner

Phone

(352) 326-2481

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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.

• Nathaniel Biegler, DC

  • Chiropractor
  • Leesburg, FL
  • NPI 1215562145
  Medicare reassignment NPD Authorized official
• Foy Edward Dark Jr., DC

  • Chiropractor
  • Leesburg, FL
  • NPI 1174628481
  NPD (past)
• Matthew Joseph Uhrik, D.C., M.S., M.S.

  • Chiropractor
  • Fruitland Park, FL
  • NPI 1194267278
  NPD (past)

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1326656539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 RIVIERA DR",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486742",
            "telephone_number": "407-462-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32629 BLOSSOM LN",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883907",
            "telephone_number": "352-326-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SQUARE CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "BIEGLER",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "352-326-2481",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.

Verify at the official NPI Registry.