Lake Country Health Center, SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2728-12 Issued in WI

Legal business name

LAKE COUNTRY HEALTH CENTER, SC

Practice address

1452 Genesee St
Delafield, WI 53018-1432

Phone

(262) 646-5800

Fax

(262) 646-5803

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Daniel T Murray, D.C.NPI 1558363010

Title

Owner

Phone

(262) 646-5800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 6

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

• Daniel T Murray, D.C.

  • Chiropractor
  • Delafield, WI
  • NPI 1558363010
  Medicare reassignment Care Compare group NPD Authorized official
• Brandon Lee Meye, D.C.

  • Chiropractor
  • Mequon, WI
  • NPI 1942547385
  Medicare reassignment Care Compare group NPD
• Moira Martin, DC

  • Chiropractor
  • Brookfield, WI
  • NPI 1891202032
  NPD
• Jaclyn Piskule Meyers, LMT

  • Massage Therapist
  • Delafield, WI
  • NPI 1164119137
  NPD
• Michelle Deguzman Rego, LMT

  • Massage Therapist
  • Delafield, WI
  • NPI 1013604826
  NPD
• Shannon Michelle Stadler, D.C.

  • Chiropractor
  • Delafield, WI
  • NPI 1023323789
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1891706123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 GENESEE ST",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530181432",
            "telephone_number": "262-646-5800",
            "fax_number": "262-646-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1452 GENESEE ST",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530181432",
            "telephone_number": "262-646-5800",
            "fax_number": "262-646-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTRY HEALTH CENTER, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-646-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2728-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark R Knutson, DDS
• Emily Kolaga, PT, DPT, CSCS, CKTP
• Mary Krienke, PT
• Lake Country Cardiovascular Associates LTD
• Lake Country Fire & Rescue
• Jennifer L Larsen, LPC
• Latched Lake Country LLC
• Jared Gregory Latus, PHARMD
• Laura a. Rahn, LLC
• Allison Laurent, PA-C

• Chiropractor in Delafield, WI
• Providers in Delafield, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.