Lakeshore Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LAKESHORE CHIROPRACTIC PC

Practice address

9745 Fall Creek Rd
Ste 700
Indianapolis, IN 46256-4728

Phone

(317) 842-5100

Fax

(317) 842-5101

NPI assigned

Feb 12, 2007

Last updated

Nov 16, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cole BlumeNPI 1861540841

Title

Chiropractor

Phone

(317) 842-5100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

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.

• Cole Evan Blume, D.C.

  • Chiropractor
  • Indianapolis, IN
  • NPI 1861540841
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1598806374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9745 FALL CREEK RD",
            "address_2": "STE 700",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564728",
            "telephone_number": "317-842-5100",
            "fax_number": "317-842-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9745 FALL CREEK RD",
            "address_2": "STE 700",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564728",
            "telephone_number": "317-842-5100",
            "fax_number": "317-842-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "BLUME",
        "authorized_official_first_name": "COLE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "317-842-5100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lak East Indy Dental LLC
• David Lakanen
• Lake Mi Mobile Doctors, P.C. (Mobile Doctors of Indianapolis)
• Amy Lake, NP
• Jordan Tyler Lakes, MSOT
• Lakeside Chiropractic Clinic PC (Meridian Chiropractic Clinic)
• Lakeview Manor, Inc. (Lakeview Manor)
• Lakeview MRI LLC
• Eshetu Assefa Lakew
• Lakewood Family Dental of Indianapolis LLC

• Chiropractor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.