Lakewood Ranch Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9197 Issued in FL

Legal business name

LAKEWOOD RANCH CHIROPRACTIC INC

Practice address

8788 E State Road 70
Suite #101
Bradenton, FL 34202-3705

Phone

(941) 739-2900

Fax

(941) 739-2009

NPI assigned

Dec 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John D Nichols, D.C.NPI 1295741346

Title

Owner

Phone

(941) 739-2900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• John Dale Nichols, D.C.

  • Chiropractor
  • Bradenton, FL
  • NPI 1295741346
  Medicare reassignment NPD Authorized official
• Kristin Elizabeth Kauffman, D.C.

  • Chiropractor
  • Port Charlotte, FL
  • NPI 1760864458
  Medicare reassignment NPD

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497819320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8788 E STATE ROAD 70",
            "address_2": "SUITE #101",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342023705",
            "telephone_number": "941-739-2900",
            "fax_number": "941-739-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8788 E STATE ROAD 70",
            "address_2": "SUITE #101",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342023705",
            "telephone_number": "941-739-2900",
            "fax_number": "941-739-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD RANCH CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-739-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeside Counseling LLC
• Lakewood Ambulatory Anesthesia PLLC
• Lakewood Cardiovascular Consultants P a
• Lakewood Dental Excellence, P.a.
• Lakewood Ranch Acupuncture and Wellness
• Lakewood Ranch Counseling
• Lakewood Ranch Counseling, LLC.
• Lakewood Ranch Imaging Center
• Lakewood Ranch Medical Center
• Lakewood Ranch Medical Massage, LLC

• Chiropractor in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.