NPIMap

Organization Active NPI

Lakeland Chiropractic Clinic Inc

  • Chiropractor
  • Chelan, WA
National Provider Identifier
1407812423
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00000938 Issued in WA
Legal business name
LAKELAND CHIROPRACTIC CLINIC INC
Practice address
130 E Chelan Ave
Chelan, WA 98816-8643
Phone
(509) 682-4078
Fax
(509) 682-4079
NPI assigned
Apr 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Authorized official

Name
Dr. Bruce F. Hurst, D.C.
Title
Owner
Phone
(509) 682-4078

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00000938 WA Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

130 E Chelan Ave
Chelan, WA 98816-8643

Mailing address

130 E Chelan Ave
PO Box 1675
Chelan, WA 98816-8643
Phone (509) 682-4078

National Provider Directory

National Provider Directory

Locations

130 E Chelan Ave
Chelan, WA 98816
Phone (509) 682-4078

130 E Chelan Ave
#F
Chelan, WA 98816
Phone (509) 682-4078

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1407812423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E CHELAN AVE",
            "address_2": "PO BOX 1675",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "988168643",
            "telephone_number": "509-682-4078",
            "fax_number": "509-682-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E CHELAN AVE",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "988168643",
            "telephone_number": "509-682-4078",
            "fax_number": "509-682-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-682-4078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00000938",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelan, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.