Active NPI
Lakernick Family Chiropractic
- Neurology Chiropractor
- Trevose, PA
National Provider Identifier
1821284019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- Legal business name
- LAKERNICK FAMILY CHIROPRACTIC
- Practice address
- 639 E Myrtle Ave
Trevose, PA 19053-4640 - Phone
- (215) 355-8336
- NPI assigned
- Sep 20, 2007
- 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
- Dr. Stuart Evan Lakernick, D.C.
- Title
- Owner
- Phone
- (215) 355-8336
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 |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | Primary |
Addresses
Primary practice location
639 E Myrtle Ave
Trevose, PA 19053-4640
Mailing address
639 E Myrtle Ave
Trevose, PA 19053-4640
Phone (215) 355-8336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0825608000 | Other | PA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Chiropractor
- Trevose, PA
- NPI 1508825118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652313600000",
"number": "1821284019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "639 E MYRTLE AVE",
"city": "TREVOSE",
"state": "PA",
"postal_code": "190534640",
"telephone_number": "215-355-8336",
"fax_number": "215-355-7550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "639 E MYRTLE AVE",
"city": "TREVOSE",
"state": "PA",
"postal_code": "190534640",
"telephone_number": "215-355-8336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKERNICK FAMILY CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-20",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A",
"authorized_official_last_name": "LAKERNICK",
"authorized_official_first_name": "STUART",
"authorized_official_middle_name": "EVAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-355-8336",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0825608000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trevose, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.