Organization Active NPI

Lake Family Chiropractic LLC

  • Chiropractor
  • Westlake, OH
National Provider Identifier
1528643970
Registry record updated Mar 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LAKE FAMILY CHIROPRACTIC LLC
Practice address
24700 Center Ridge Rd Ste G70
Westlake, OH 44145-5636
Phone
(216) 242-6155
NPI assigned
Mar 16, 2021
Last updated
Mar 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2024

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

Authorized official

Name
Dr. Shirley Marie Delgado Rivera, DCNPI 1013365709
Title
Provider/Owner
Phone
(216) 242-6155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

24700 Center Ridge Rd Ste G70
Westlake, OH 44145-5636

Mailing address

24700 Center Ridge Rd Ste G70
Westlake, OH 44145-5636
Phone (216) 242-6155

National Provider Directory

National Provider Directory

Locations

24500 Center Ridge Rd
Ste 205
Westlake, OH 44145
Phone (216) 242-6155

24700 Center Ridge Rd
Ste G70
Westlake, OH 44145
Phone (216) 242-6155

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711152000000",
    "number": "1528643970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24700 CENTER RIDGE RD STE G70",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455636",
            "telephone_number": "216-242-6155",
            "fax_number": "216-242-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24700 CENTER RIDGE RD STE G70",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455636",
            "telephone_number": "216-242-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2024-03-23",
        "certification_date": "2024-03-23",
        "status": "A",
        "authorized_official_last_name": "DELGADO RIVERA",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "216-242-6155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2024; 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.