NPIMap

Organization Active NPI

Lake Norman Health and Wellness, PA

  • Chiropractor
  • Cornelius, NC
National Provider Identifier
1417044637
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3241 Issued in NC
Legal business name
LAKE NORMAN HEALTH AND WELLNESS, PA
Practice address
18047 W Catawba Ave
Suite E
Cornelius, NC 28031-5664
Phone
(704) 987-3993
Fax
(704) 987-3991
NPI assigned
Oct 8, 2006
Last updated
Jul 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Authorized official

Name
Dr. Akiba Joseph Green, D.C.NPI 1841387784
Title
President
Phone
(704) 987-3993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3241 NC Primary

Addresses

Primary practice location

18047 W Catawba Ave
Suite E
Cornelius, NC 28031-5664

Mailing address

18047 W Catawba Ave
Suite E
Cornelius, NC 28031-5664
Phone (704) 987-3993

National Provider Directory

National Provider Directory

Locations

19607 W Catawba Ave
Ste 103
Cornelius, NC 28031
Phone (704) 956-1107

1086 River Hwy
Ste D
Mooresville, NC 28117
Phone (704) 696-9700

Practitioners & affiliated clinicians

Practitioners 5

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": "1160265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1417044637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18047 W CATAWBA AVE",
            "address_2": "SUITE E",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315664",
            "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": "18047 W CATAWBA AVE",
            "address_2": "SUITE E",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315664",
            "telephone_number": "704-987-3993",
            "fax_number": "704-987-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE NORMAN HEALTH AND WELLNESS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-08",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "AKIBA",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-987-3993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; 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.