NPIMap

Organization Active NPI

Lake Norman Pain Relief & Wellness

  • Rehabilitation Chiropractor
  • Cornelius, NC
National Provider Identifier
1780753335
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
3473 Issued in NC
Legal business name
LAKE NORMAN PAIN RELIEF & WELLNESS
Practice address
19315 W Catawba Ave
Suite 100
Cornelius, NC 28031-8650
Phone
(704) 896-1811
Fax
(704) 896-1812
NPI assigned
Nov 7, 2006
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. John J Cipriani, D.C.NPI 1760571178
Title
Chiropractic Physician
Phone
(704) 896-1811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 3473 NC Primary

Addresses

Primary practice location

19315 W Catawba Ave
Suite 100
Cornelius, NC 28031-8650

Mailing address

19315 W Catawba Ave
Suite 100
Cornelius, NC 28031-8650
Phone (704) 896-1811

Other identifiers 1

IdentifierTypeStateIssuer
0850XOtherNCBCBS PROVIDER #

National Provider Directory

National Provider Directory

Locations

19607 W Catawba Ave
Ste 104
Cornelius, NC 28031
Phone (704) 896-1811

Practitioners & affiliated clinicians

Practitioners 12

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": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1780753335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19315 W CATAWBA AVE",
            "address_2": "SUITE 100",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318650",
            "telephone_number": "704-896-1811",
            "fax_number": "704-896-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19315 W CATAWBA AVE",
            "address_2": "SUITE 100",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318650",
            "telephone_number": "704-896-1811",
            "fax_number": "704-896-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE NORMAN PAIN RELIEF & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "CIPRIANI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "704-896-1811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NC",
            "license": "3473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "0850X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.