Active NPI
Twin Lakes Chiropractic Clinic
- Chiropractor
- Lakeview, AR
National Provider Identifier
1356411276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 904
- Legal business name
- TWIN LAKES CHIROPRACTIC CLINIC
- Practice address
- 4898 Highway 178 West
Lakeview, AR 72642 - Phone
- (870) 431-8900
- Fax
- (870) 431-8810
- NPI assigned
- Nov 8, 2006
- Organization subpart
- Yes
- Parent organization
- TWIN LAKES CHIROPRACTIC CLINIC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Ludean Ungerank, DC
- Title
- Owner
- Phone
- (870) 431-8900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 904 | AR | Primary |
Addresses
Primary practice location
4898 Highway 178 West
Lakeview, AR 72642
Mailing address
PO Box 148
Lakeview, AR 72642-0148
Phone (870) 431-8900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101032718 | Medicaid | AR | |
| DC2383 | Other | AR | RAILROAD MEDICARE PIN |
Other names 1
- Twin Lakes Chiropractic and Rehab
National Provider Directory
National Provider Directory- Part of
- Twin Lakes Chiro and Re
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Mountain Home, AR
- NPI 1629085931
-
- Chiropractor
- Destin, FL
- NPI 1235249657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215993600000",
"number": "1356411276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 148",
"city": "LAKEVIEW",
"state": "AR",
"postal_code": "726420148",
"telephone_number": "870-431-8900",
"fax_number": "870-431-8810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4898 HIGHWAY 178 WEST",
"city": "LAKEVIEW",
"state": "AR",
"postal_code": "72642",
"telephone_number": "870-431-8900",
"fax_number": "870-431-8810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TWIN LAKES CHIROPRACTIC CLINIC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TWIN LAKES CHIROPRACTIC CLINIC",
"enumeration_date": "2006-11-08",
"last_updated": "2008-07-14",
"status": "A",
"authorized_official_last_name": "UNGERANK",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "LUDEAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "870-431-8900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "AR",
"license": "904",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101032718",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "DC2383",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Twin Lakes Chiropractic and Rehab",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Lakeview, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.