Organization Active NPI

Lakewood Wellness LLC

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1649654120
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12030 Issued in TX
Legal business name
LAKEWOOD WELLNESS LLC
Practice address
6333 E Mockingbird LN Ste 260
Dallas, TX 75214-2368
Phone
(214) 821-2525
NPI assigned
Jul 15, 2015
Last updated
Jul 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Authorized official

Name
Jessica Rorie
Title
Financial Officer
Phone
(214) 821-2525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12030 TX Primary

Addresses

Primary practice location

6333 E Mockingbird LN Ste 260
Dallas, TX 75214-2368

Mailing address

6333 E Mockingbird LN Ste 260
Dallas, TX 75214-2368
Phone (214) 821-2525

National Provider Directory

National Provider Directory

Locations

6333 E Mockingbird Ln
Ste 260
Dallas, TX 75214
Phone (214) 821-2525

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1649654120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 E MOCKINGBIRD LN STE 260",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752142368",
            "telephone_number": "214-821-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 E MOCKINGBIRD LN STE 260",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752142368",
            "telephone_number": "214-821-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "RORIE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "FINANCIAL OFFICER",
        "authorized_official_telephone_number": "214-821-2525"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.