Lakeside Chiropractic Wellness Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008802 Issued in GA

Legal business name

LAKESIDE CHIROPRACTIC WELLNESS CENTER, LLC

Practice address

3750 Palladian Village Dr
Suite 330
Marietta, GA 30066-8200

Phone

(678) 401-8207

Fax

(866) 248-6750

NPI assigned

Jan 24, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Dale Enoch Callaway, D.C.

Title

Chiropractor/Owner

Phone

(678) 401-8207

Specialties & licenses 1

Addresses

Other names 1

• Lakeside Chiropractic Wellness Center, LLC Doing business as

Locations

Practitioners 1

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

• Carmen A Meadows, B.S., D.C.

  • Chiropractor
  • Marietta, GA
  • NPI 1790063287
  NPD (past)

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1811268667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 KILLARNEY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300808515",
            "telephone_number": "678-644-1990",
            "fax_number": "866-248-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 PALLADIAN VILLAGE DR",
            "address_2": "SUITE 330",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300668200",
            "telephone_number": "678-401-8207",
            "fax_number": "866-248-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE CHIROPRACTIC WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "CALLAWAY",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "ENOCH",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "678-401-8207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Chiropractic Wellness Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Lagergren, MD
• Ellen Laghaie
• David M Lahasky, M. D.
• Sharon Laing
• Lake Pointe Dental Inc
• Lakhani Vision Care, PC
• Rakeshkumar Lakhani, O.D.
• Shivapriya Lakshmana Perumal
• Alykhan Mehboob Lalani, M.D.
• Shenila Badruddin Lallani

• Chiropractor in Marietta, GA
• Providers in Marietta, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; 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.