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LAKESIDE CHIROPRACTIC LLC
NPI 1144063447
Chiropractor in Prior Lake, MN

Active since June 14, 2024
6885 BOUDIN ST NE STE 200, PRIOR LAKE, MN 55372(651) 583-8971(612) 712-3023 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakeside Chiropractic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE CHIROPRACTIC LLC (NPI 1144063447) is a healthcare organization registered as a chiropractor in Prior Lake, Minnesota and active in the NPI registry since June 2024. The organization lists Connor Thomas Wears, Owner, as its authorized official.

NPPES Registry Identity

NPI1144063447
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLAKESIDE CHIROPRACTIC LLC
Location Address6885 BOUDIN ST NE STE 200Prior Lake, MN 55372-2091
Mailing Address20723 Hampshire CirLakeville, MN 55044-4669 · (651) 583-8971 · Fax (612) 712-3023
Phone(651) 583-8971
Fax(612) 712-3023
Organization SubpartNo
Authorized OfficialConnor Thomas WearsOwner · (651) 583-8971
Enumeration DateJune 14, 2024
NPPES CertifiedJune 14, 2024
✔ NPI 1144063447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
6885 BOUDIN ST NE STE 200, Prior Lake, MN 55372
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONNOR THOMAS WEARS DC
Chiropractor
6885 BOUDIN ST NE STE 200
PRIOR LAKE, MN 55372
Scott County (651) 583-8971
MR. CHARLES HOWARD JORENBY MA, LP
Psychologist
6885 BOUDIN ST NE STE 200
PRIOR LAKE, MN 55372
Scott County (952) 226-2641
COLE STEVEN STEINHAGEN DC
Chiropractor
6885 BOUDIN ST NE STE 200
PRIOR LAKE, MN 55372
Scott County (651) 583-8971

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeside Chiropractic LLC's NPI number?

The NPI number for Lakeside Chiropractic LLC is 1144063447. It was assigned to this organization in the NPPES registry on June 14, 2024.

Where is Lakeside Chiropractic LLC located?

Lakeside Chiropractic LLC is located at 6885 Boudin St NE Ste 200, Prior Lake, MN 55372. The listed phone number is (651) 583-8971.

What is Lakeside Chiropractic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Lakeside Chiropractic LLC was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.