Lakeshore Chiropractic Wellness PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LAKESHORE CHIROPRACTIC WELLNESS PLLC

Practice address

6778 Erie Rd
Derby, NY 14047-9672

Phone

(716) 947-5106

Fax

(716) 947-9329

NPI assigned

Oct 2, 2023

Last updated

Feb 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Alan Smith, DCNPI 1598743163

Title

Owner - Chiropractor

Phone

(716) 208-6039

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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.

• Timothy Smith, DC

  • Chiropractor
  • Derby, NY
  • NPI 1598743163
  Medicare reassignment Care Compare group NPD Authorized official
• Heather Marie Monin, D.C.

  • Chiropractor
  • Buffalo, NY
  • NPI 1265567358
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1396525002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 CLARK ST",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140753905",
            "telephone_number": "716-947-5106",
            "fax_number": "716-947-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6778 ERIE RD",
            "city": "DERBY",
            "state": "NY",
            "postal_code": "140479672",
            "telephone_number": "716-947-5106",
            "fax_number": "716-947-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE CHIROPRACTIC WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER - CHIROPRACTOR",
        "authorized_official_telephone_number": "716-208-6039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda A. Hegyi, R.N.
• Crystal Hrubiak
• J. Sills, Speech-Language Pathology, PLLC
• John Mulawka DO, PC
• Julie Kuster, RN
• Lakeshore Family Medicine Assoc PC
• Lakeshore Family Medicine Associates PC (Lakeshore Family Medicine Derby)
• Debra Sue Longbine, RPA C
• Laura Ann Majkut, RN
• Holly Kathryn Mangus

• Chiropractor in Derby, NY
• Providers in Derby, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.