NPIMap

Organization Active NPI

Lakes Chiropractic & Wellness SC

  • Chiropractor
  • Eagle River, WI
National Provider Identifier
1609021856
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LAKES CHIROPRACTIC & WELLNESS SC
Practice address
761 US Highway 45 S
Eagle River, WI 54521-9110
Phone
(715) 479-8700
NPI assigned
Dec 1, 2008
Last updated
Dec 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Authorized official

Name
Dr. Earl J. Roth, D.C.NPI 1205999646
Title
Shareholder
Phone
(715) 365-1200

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

761 US Highway 45 S
Eagle River, WI 54521-9110

Mailing address

761 US Highway 45 S
Eagle River, WI 54521-9110
Phone (715) 479-8700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1609021856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 US HIGHWAY 45 S",
            "city": "EAGLE RIVER",
            "state": "WI",
            "postal_code": "545219110",
            "telephone_number": "715-479-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 US HIGHWAY 45 S",
            "city": "EAGLE RIVER",
            "state": "WI",
            "postal_code": "545219110",
            "telephone_number": "715-479-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES CHIROPRACTIC & WELLNESS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "715-365-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.