NPIMap

Organization Active NPI

Lake Country Neurology and Spine Center

  • Neurology Chiropractor
  • Hartland, WI
National Provider Identifier
1487820908
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
Legal business name
LAKE COUNTRY NEUROLOGY AND SPINE CENTER
Practice address
300 Cottonwood Ave
Suite 3
Hartland, WI 53029-2043
Phone
(262) 369-9993
NPI assigned
May 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Dr. Paul Thomas, D.C.NPI 1215021977
Title
Partner
Phone
(262) 369-9993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NN0400X Primary

Addresses

Primary practice location

300 Cottonwood Ave
Suite 3
Hartland, WI 53029-2043

Mailing address

300 Cottonwood Ave
Suite 3
Hartland, WI 53029-2043
Phone (262) 369-9993

National Provider Directory

National Provider Directory

Locations

300 Cottonwood Ave
Ste 3
Hartland, WI 53029
Phone (262) 369-9993

Practitioners & affiliated clinicians

Practitioners 1

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": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1487820908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COTTONWOOD AVE",
            "address_2": "SUITE 3",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530292043",
            "telephone_number": "262-369-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COTTONWOOD AVE",
            "address_2": "SUITE 3",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530292043",
            "telephone_number": "262-369-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTRY NEUROLOGY AND SPINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "262-369-9993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.