Lake Norman Health and Wellness, PA

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

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, D.C.

Title

President

Phone

(704) 987-3993

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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

• Derik Nelson Baltich, D.C.

  • Chiropractor
  • Mooresville, NC
  • NPI 1124198593
  NPD (past)
• Gary Lee Draper, DC

  • Chiropractor
  • Cornelius, NC
  • NPI 1265708028
  NPD (past)
• Eric Wayne Goodman, D.C.

  • Chiropractor
  • Cornelius, NC
  • NPI 1124385844
  NPD (past)
• John Michael Hoctor II, D.C.

  • Chiropractor
  • Cornelius, NC
  • NPI 1366770752
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903436",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lab Metrics LLC
• Kevin Wayne Lafone, O.D.
• Megan Lahti
• Lake Norman Children'S Therapy I, Inc
• Lake Norman Family Therapy, PLLC
• Lake Norman Integrative Wellness, LLC
• Lake Norman Pain Relief & Wellness
• Lake Norman Pain Relief and Wellness
• Lake Point Family Chiropractic PLLC
• Lakeside Dermatology , PA

• Chiropractor in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Chiropractor in North Carolina

• 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.