Active NPI
Lake View Family Chiropractic Clinic, PC
- Chiropractor
- Lake View, IA
National Provider Identifier
1649500174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- A06123
- Legal business name
- LAKE VIEW FAMILY CHIROPRACTIC CLINIC, PC
- Practice address
- 517 3Rd St
Lake View, IA 51450-7605 - Phone
- (712) 657-2225
- NPI assigned
- Jan 6, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Julie Clayton
- Title
- Owner
- Phone
- (712) 657-2225
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | A06123 | IA | Primary |
Addresses
Primary practice location
517 3Rd St
Lake View, IA 51450-7605
Mailing address
517 3Rd St
Lake View, IA 51450-7605
Phone (712) 657-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100414000078 | IA | Part B Supplier - Clinic/Group Practice | 9032245501 |
Receives reassigned benefits from 1 practitioner Practice locations: Lake View, IA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Lake View, IA
- NPI 1427021336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300924800000",
"number": "1649500174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 3RD ST",
"city": "LAKE VIEW",
"state": "IA",
"postal_code": "514507605",
"telephone_number": "712-657-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 3RD ST",
"city": "LAKE VIEW",
"state": "IA",
"postal_code": "514507605",
"telephone_number": "712-657-2225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKE VIEW FAMILY CHIROPRACTIC CLINIC, PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-06",
"last_updated": "2011-03-24",
"status": "A",
"authorized_official_last_name": "CLAYTON",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "712-657-2225",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IA",
"license": "A06123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake View, IA
- East Sac County Community School District
- Family First Dental Associates of Sac City, P.C.
- Illuminate Supervision and Consulting
- Iowa Physicians Clinic Medical Foundation
- Judisch Vision PC
- Lakeview Health Care Operations
- Margaret A Liautaud, LISW
- John Richard Miller, PTA
- Mark Mogensen, PA-C
- Deanna Moore
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.