Lakeside Chiropractic Clinic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8001769A Issued in IN

Legal business name

LAKESIDE CHIROPRACTIC CLINIC PC

Practice address

2162 N Meridian St
Suite C
Indianapolis, IN 46202-1311

Phone

(317) 923-4894

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffry S. YoderNPI 1376521047

Title

President

Phone

(317) 923-4894

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Meridian Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

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

• Jeffry Scott Yoder, D.C.

  • Chiropractor
  • Indianapolis, IN
  • NPI 1376521047
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1891912333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2162 N MERIDIAN ST",
            "address_2": "SUITE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2162 N MERIDIAN ST",
            "address_2": "SUITE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021311",
            "telephone_number": "317-923-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "YODER",
        "authorized_official_first_name": "JEFFRY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-923-4894",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "8001769A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200314240A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meridian Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Lakanen
• Lake Mi Mobile Doctors, P.C.
• Amy Lake, NP
• Jordan Tyler Lakes, MSOT
• Lakeshore Chiropractic PC
• Lakeview Manor, Inc.
• Lakeview MRI LLC
• Eshetu Assefa Lakew
• Lakewood Family Dental of Indianapolis LLC
• Salman Lakhani, DO

• Chiropractor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.