Organization Active NPI

Lake Anna Chiropractic, Inc

Doing business as Yellow Creek Chiropractic

  • Chiropractor
  • Akron, OH
National Provider Identifier
1356394373
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2806 Issued in OH
Legal business name
LAKE ANNA CHIROPRACTIC, INC
Doing business as
Yellow Creek Chiropractic
Practice address
835 N Cleveland Massillon Rd
Akron, OH 44333-2180
Phone
(330) 848-9334
Fax
(330) 848-9332
NPI assigned
May 19, 2006
Last updated
Dec 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Authorized official

Name
Mrs. April S Zink, D.C.NPI 1386613636
Title
Owner
Phone
(330) 848-9334

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)CodeLicenseStatePrimary
Chiropractor 111N00000X 2806 OH Primary

Addresses

Primary practice location

835 N Cleveland Massillon Rd
Akron, OH 44333-2180

Mailing address

835 N Cleveland Massillon Rd
Akron, OH 44333-2180
Phone (330) 848-9334

Other names 1

  • Yellow Creek Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040728001723 OH Part B Supplier - Clinic/Group Practice 3375513153 Receives reassigned benefits from 1 practitioner
Practice locations: Akron, OH

National Provider Directory

National Provider Directory

Locations

835 N Cleveland Massillon Rd
Akron, OH 44333
Phone (330) 848-9334

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": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1356394373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 N CLEVELAND MASSILLON RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332180",
            "telephone_number": "330-848-9334",
            "fax_number": "330-848-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 N CLEVELAND MASSILLON RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332180",
            "telephone_number": "330-848-9334",
            "fax_number": "330-848-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE ANNA CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "ZINK",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-848-9334",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yellow Creek Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.