Organization Active NPI

Lakeview Chiropractic and Wellness Clinic, S.C.

  • Clinic/Center
  • Racine, WI
National Provider Identifier
1912237132
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
455412 Issued in WI
Legal business name
LAKEVIEW CHIROPRACTIC AND WELLNESS CLINIC, S.C.
Practice address
414 Sixth St
Racine, WI 53403-1218
Phone
(262) 637-1822
Fax
(262) 637-4522
NPI assigned
Jan 11, 2010
Last updated
May 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Authorized official

Name
Dr. Nicholas Reinhart Pope, D.C.NPI 1245569573
Title
Chiropractor
Phone
(262) 880-7175

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)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 455412 WI Primary

Addresses

Primary practice location

414 Sixth St
Racine, WI 53403-1218

Mailing address

414 Sixth St
Racine, WI 53403-1218
Phone (262) 637-1822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100602000948 WI Part B Supplier - Clinic/Group Practice 3678602562 Receives reassigned benefits from 3 practitioners
Practice locations: Racine, WI

National Provider Directory

National Provider Directory

Locations

414 6th St
Racine, WI 53403
Phone (262) 637-1822

Practitioners & affiliated clinicians

Practitioners 5

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": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1912237132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 SIXTH ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031218",
            "telephone_number": "262-637-1822",
            "fax_number": "262-637-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 SIXTH ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031218",
            "telephone_number": "262-637-1822",
            "fax_number": "262-637-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW CHIROPRACTIC AND WELLNESS CLINIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "REINHART",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "262-880-7175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "455412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.