Michael Anton Lalama, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00797200 Issued in NJ

Practice address

1 Old Wolfe Rd
Budd Lake, NJ 07828-3213

Phone

(973) 975-4700

NPI assigned

May 11, 2022

Last updated

Aug 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Functional Chiropractic LLC

  • Chiropractor
  • Budd Lake, NJ
  • NPI 1841973153
  NPD Authorized official

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1427794452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DANCER DR",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "078281919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OLD WOLFE RD",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "078283213",
            "telephone_number": "973-975-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 S Loop 288 Ste 106",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762054706",
            "country_code": "US",
            "telephone_number": "940-242-4786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LALAMA",
        "first_name": "MICHAEL",
        "middle_name": "ANTON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15177",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00797200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin King, PH.D
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• Stephanie Koundry, LCSW
• Kirstin Kroll
• Lakeview Medical Associates, P.C.
• Janelle Laryea
• Pratibha Le Francis, RPH
• Neeltje Leenman, LPC
• Nicholas Joseph Leggiero, D.O.
• Life in Progress Counseling LLC

• Chiropractor in Budd Lake, NJ
• Providers in Budd Lake, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.