Lake Norman Integrative Wellness, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

LAKE NORMAN INTEGRATIVE WELLNESS, LLC

Practice address

21000 Torrence Chapel Rd Ste 101
Cornelius, NC 28031-6874

Phone

(704) 987-3993

Fax

(704) 987-3991

NPI assigned

Apr 23, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Akiba Joseph Green, DC, DNMNPI 1841387784

Title

Clinic Director

Phone

(704) 658-7350

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Akiba Joseph Green, DNM

  • Naturopath
  • Cornelius, NC
  • NPI 1841387784
  NPD Authorized official

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1356961007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21000 TORRENCE CHAPEL RD STE 101",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316874",
            "telephone_number": "704-987-3993",
            "fax_number": "704-987-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21000 TORRENCE CHAPEL RD STE 101",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316874",
            "telephone_number": "704-987-3993",
            "fax_number": "704-987-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE NORMAN INTEGRATIVE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "AKIBA",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "704-658-7350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, DNM"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://drgreenportal.md-hq.com/",
            "affiliation": "N",
            "endpointDescription": "Patient Portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "21000 Torrence Chapel Rd Ste 101",
            "city": "Cornelius",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280316874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kevin Wayne Lafone, O.D.
• Megan Lahti
• Lake Norman Children'S Therapy I, Inc
• Lake Norman Family Therapy, PLLC
• Lake Norman Health and Wellness, PA
• Lake Norman Pain Relief & Wellness
• Lake Norman Pain Relief and Wellness
• Lake Point Family Chiropractic PLLC
• Lakeside Dermatology , PA
• Lakeside Foot Clinic, PC

• Medical Specialty Clinic/Center in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Medical Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.