Organization Active NPI

Lakeland Chiropractic Center, Inc.

  • Chiropractor
  • Cumming, GA
National Provider Identifier
1346386877
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR006869 Issued in GA
Legal business name
LAKELAND CHIROPRACTIC CENTER, INC.
Practice address
563 Lakeland PLZ
Cumming, GA 30040-2784
Phone
(770) 781-9050
Fax
(770) 781-5801
NPI assigned
Jan 30, 2007
Last updated
Jul 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Authorized official

Name
Dr. Tracy M. Maloney, D.C.
Title
President
Phone
(770) 781-9050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR006869 GA Primary

Addresses

Primary practice location

563 Lakeland PLZ
Cumming, GA 30040-2784

Mailing address

563 Lakeland PLZ
Cumming, GA 30040-2784
Phone (770) 781-9050

Other identifiers 1

IdentifierTypeStateIssuer
52223231-001OtherGABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1346386877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 LAKELAND PLZ",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402784",
            "telephone_number": "770-781-9050",
            "fax_number": "770-781-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 LAKELAND PLZ",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402784",
            "telephone_number": "770-781-9050",
            "fax_number": "770-781-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "MALONEY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-781-9050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52223231-001",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.