Individual provider Active NPI

Ashley Danielle Lake, DC

  • Chiropractor
  • Greensboro, NC
National Provider Identifier
1346056868
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5839 Issued in NC
Practice address
2006 New Garden Rd Ste 204
Greensboro, NC 27410-2568
Phone
(336) 545-3132
NPI assigned
Dec 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5839 NC Primary

Addresses

Primary practice location

2006 New Garden Rd Ste 204
Greensboro, NC 27410-2568

Mailing address

2006 New Garden Rd Ste 204
Greensboro, NC 27410-2568
Phone (336) 545-3132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250228001096 NC Practitioner - Chiropractic 0446770804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winston-Salem Chiropractic IncGroup PAC ID 2961934286, 3 clinicians

Practice addresses (Care Compare)

2022 S Main St
Winston Salem, NC 27127-2934
Phone (336) 724-0597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5839NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Greensboro Chiropractic Inc Chiropractor CurrentSince Dec 15, 2024 Accepting new patients
Brugger Chiropractic, PLLC Chiropractor CurrentSince Jan 14, 2025 Accepting new patients
Winston-Salem Chiropractic, Inc Chiropractor CurrentSince Mar 23, 2026 Accepting new patients
Burlington Chiropractic, Inc Chiropractor CurrentSince Jan 14, 2025 Accepting new patients

Locations

3008 S Church St
Ste A
Burlington, NC 27215
Phone (336) 584-9932

2006 New Garden Rd
Ste 204
Greensboro, NC 27410
Phone (336) 545-3132

2022 S Main St
Winston Salem, NC 27127
Phone (336) 724-0597

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1346056868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 NEW GARDEN RD STE 204",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102568",
            "telephone_number": "336-545-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 NEW GARDEN RD STE 204",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102568",
            "telephone_number": "336-545-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "ASHLEY",
        "middle_name": "DANIELLE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.