Lake West Chiropractic and Natural Health, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LAKE WEST CHIROPRACTIC AND NATURAL HEALTH, PA

Practice address

4190 Vinewood LN N
Suite 121
Plymouth, MN 55442-1735

Phone

(763) 550-1205

Fax

(763) 550-9857

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Allen Wock, D.C.NPI 1982742318

Title

President

Phone

(763) 550-1205

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Allen Wock, D.C.

  • Chiropractor
  • Plymouth, MN
  • NPI 1982742318
  Medicare reassignment Authorized official
• Sarah Suzann Bartosch, D.C.

  • Chiropractor
  • Waverly, MN
  • NPI 1881721538
  NPD (past)
• Nicholas Russell Heckmann, D.C.

  • Chiropractor
  • Plymouth, MN
  • NPI 1700123296
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659419018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 VINEWOOD LN N",
            "address_2": "SUITE 121",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554421735",
            "telephone_number": "763-550-1205",
            "fax_number": "763-550-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 VINEWOOD LN N",
            "address_2": "SUITE 121",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554421735",
            "telephone_number": "763-550-1205",
            "fax_number": "763-550-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE WEST CHIROPRACTIC AND NATURAL HEALTH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOCK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-550-1205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Kurth, DNAP, CRNA
• Owen Payne Kusick
• Shannon Allyn Labree
• Isabelle Lacosse
• Robert E Lager, M.D.
• Lakeland Health Services, Inc.
• Lakes Orthotics & Prosthetics Inc
• Miranda Lee Lakmann, PT, DPT, CSCS
• Lam Family Dentistry
• Katherine Elizabeth Lamb, MS CCC-SLP

• Chiropractor in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.