Organization Active NPI

Naeve Chiropractic PC

Doing business as Lakeside Family Chiropractic

  • Chiropractor
  • Pleasant Hill, IA
National Provider Identifier
1699940197
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006973 Issued in IA
Legal business name
NAEVE CHIROPRACTIC PC
Doing business as
Lakeside Family Chiropractic
Practice address
4430 E University Ave
Pleasant Hill, IA 50327-1701
Phone
(515) 266-1717
Fax
(515) 262-3642
NPI assigned
Apr 25, 2008
Last updated
Oct 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2009

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

Authorized official

Name
Dr. Kristina Kay Naeve, DCNPI 1437369998
Title
President
Phone
(515) 266-1717

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 006973 IA Primary

Addresses

Primary practice location

4430 E University Ave
Pleasant Hill, IA 50327-1701

Mailing address

4430 E University Ave
Pleasant Hill, IA 50327-1701
Phone (515) 266-1717

Other identifiers 1

IdentifierTypeStateIssuer
1437369998MedicaidIA

Other names 1

  • Lakeside Family Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080604000630 IA Part B Supplier - Clinic/Group Practice 8224108154 Receives reassigned benefits from 1 practitioner
Practice locations: Pleasant Hill, IA

National Provider Directory

National Provider Directory

Locations

4430 E University Ave
Pleasant Hill, IA 50327
Phone (515) 266-1717

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1699940197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 E UNIVERSITY AVE",
            "city": "PLEASANT HILL",
            "state": "IA",
            "postal_code": "503271701",
            "telephone_number": "515-266-1717",
            "fax_number": "515-262-3642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 E UNIVERSITY AVE",
            "city": "PLEASANT HILL",
            "state": "IA",
            "postal_code": "503271701",
            "telephone_number": "515-266-1717",
            "fax_number": "515-262-3642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAEVE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "NAEVE",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-266-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "006973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437369998",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasant Hill, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.