NPIMap

Organization Active NPI

Main Chiropractic Center, LLC

  • Neurology Chiropractor
  • Maple Shade, NJ
National Provider Identifier
1497967525
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
38MC00539600 Issued in NJ
Legal business name
MAIN CHIROPRACTIC CENTER, LLC
Practice address
201 E. Main St.
Maple Shade, NJ 08052
Phone
(856) 482-1626
Fax
(856) 482-8481
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Albert Scott Lakernick, DC
Title
Owner
Phone
(856) 482-1626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN0400X 38MC00539600 NJ Primary

Addresses

Primary practice location

201 E. Main St.
Maple Shade, NJ 08052

Mailing address

201 E. Main St.
Maple Shade, NJ 08052
Phone (856) 482-1626

National Provider Directory

National Provider Directory

Locations

201 E Main St
Maple Shade, NJ 08052
Phone (604) 482-1626

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497967525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E. MAIN ST.",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "08052",
            "telephone_number": "856-482-1626",
            "fax_number": "856-482-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E. MAIN ST.",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "08052",
            "telephone_number": "856-482-1626",
            "fax_number": "856-482-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAKERNICK",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-482-1626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "NJ",
            "license": "38MC00539600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Shade, NJ

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.