Lakeview Health and Wellness PLLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

4040 Issued in MN

Legal business name

LAKEVIEW HEALTH AND WELLNESS PLLC

Doing business as

Lakeview Chiropractic
Lakeview Health & Wellness

Practice address

118 Paul Bunyan Dr S
Bemidji, MN 56601-3236

Phone

(218) 751-2150

NPI assigned

Feb 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Shad Leroy Swanson, D.C.NPI 1558368209

Title

Owner

Phone

(218) 444-7788

Specialties & licenses 3

Addresses

Other names 2

• Lakeview Chiropractic Doing business as
• Lakeview Health & Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 2

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

• Shad Leroy Swanson, D.C.

  • Chiropractor
  • Bemidji, MN
  • NPI 1558368209
  Medicare reassignment Authorized official
• Korbyn Lucking, DC

  • Chiropractor
  • Bemidji, MN
  • NPI 1114691458
  Medicare reassignment NPD

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1962774158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 PAUL BUNYAN DR S",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013236",
            "telephone_number": "218-444-7788",
            "fax_number": "218-444-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 PAUL BUNYAN DR S",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013236",
            "telephone_number": "218-751-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW HEALTH AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "SHAD",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-444-7788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4040",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MN",
            "license": "4040",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakeview Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Labitzky, PHARMD
• Burton George Lade, R.PH.
• Lake Region Bone & Joint Surgeons
• Lakes Region Chemical Dependency LLC
• Lakeview Dental Clinic
• Mary H. Landes, C.R.N.A.
• Kirsten Landmark, MS
• Lacey Ann Langerak, PAC
• Paul J Lappinga, MD
• Jeffrey Large, MPT

• Rehabilitation Chiropractor in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Rehabilitation Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.