Active NPI
North Shore Chiropractic, PC
- Chiropractor
- Clear Lake, IA
National Provider Identifier
1801669791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- NORTH SHORE CHIROPRACTIC, PC
- Practice address
- 418 N Shore Dr
Clear Lake, IA 50428-1378 - Phone
- (641) 357-5050
- NPI assigned
- Nov 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lane Krause, DC
- Title
- Chiropractor
- Phone
- (641) 373-6082
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
418 N Shore Dr
Clear Lake, IA 50428-1378
Mailing address
418 N Shore Dr
Clear Lake, IA 50428-1378
Phone (641) 357-5050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
418 N Shore Dr
Clear Lake, IA 50428
Phone (641) 357-5050
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700438400000",
"number": "1801669791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 N SHORE DR",
"city": "CLEAR LAKE",
"state": "IA",
"postal_code": "504281378",
"telephone_number": "641-357-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 N SHORE DR",
"city": "CLEAR LAKE",
"state": "IA",
"postal_code": "504281378",
"telephone_number": "641-357-5050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH SHORE CHIROPRACTIC, PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-01",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A",
"authorized_official_last_name": "KRAUSE",
"authorized_official_first_name": "LANE",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "641-373-6082",
"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": []
}
Other providers in Clear Lake, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.