Lakeway Health & Wellness Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LAKEWAY HEALTH & WELLNESS CHIROPRACTIC, LLC

Practice address

2121 Lohmans Crossing Rd # 508
Lakeway, TX 78734-5217

Phone

(512) 605-0400

Fax

(512) 605-0400

NPI assigned

Oct 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Dustin Paul Ferrell, DCNPI 1780706564

Title

Owner/Doctor

Phone

(512) 605-0400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Dustin Ferrell, DC

  • Chiropractor
  • Lakeway, TX
  • NPI 1780706564
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1790038636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 LOHMANS CROSSING RD # 508",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787345217",
            "telephone_number": "512-605-0400",
            "fax_number": "512-605-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 LOHMANS CROSSING RD # 508",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787345217",
            "telephone_number": "512-605-0400",
            "fax_number": "512-605-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWAY HEALTH & WELLNESS CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "FERRELL",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "512-605-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lakeway Era Acquistion Partners LLC (VIK Complete Care Lakeway)
• Lakeway Eye Center PC
• Lakeway Eye Physicians and Surgeons
• Lakeway Hospitalists PLLC
• Lakeway Medical Clinic, LLC
• Lakeway Optical LLC
• Lakeway Sports Physical Therapy
• Lakeway Vision Associates P.a.

• Chiropractor in Lakeway, TX
• Providers in Lakeway, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.