NPIMap

Organization Active NPI

Innate Chiropractic, Inc.

Doing business as Lake Chiropractic

  • Chiropractor
  • Birmingham, AL
National Provider Identifier
1831305937
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2181 Issued in AL
Legal business name
INNATE CHIROPRACTIC, INC.
Doing business as
Lake Chiropractic
Practice address
3017 Pump House Rd
Birmingham, AL 35243-1847
Phone
(205) 380-0574
Fax
(205) 968-5854
NPI assigned
May 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lake Franklin, D.C.NPI 1063553089
Title
President
Phone
(205) 394-2340

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2181 AL Primary

Addresses

Primary practice location

3017 Pump House Rd
Birmingham, AL 35243-1847

Mailing address

305 Heath Dr
Birmingham, AL 35242-4028
Phone (205) 380-0574

Other identifiers 1

IdentifierTypeStateIssuer
51539961OtherALBCBS

Other names 1

  • Lake Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

3017 Pump House Rd
Vestavia, AL 35243
Phone (205) 380-0574

Practitioners & affiliated clinicians

Practitioners 1

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831305937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 HEATH DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424028",
            "telephone_number": "205-380-0574",
            "fax_number": "205-968-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 PUMP HOUSE RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352431847",
            "telephone_number": "205-380-0574",
            "fax_number": "205-968-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNATE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRANKLIN",
        "authorized_official_first_name": "LAKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-394-2340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51539961",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.