LAKESIDE SPINE AND WELLNESS
NPI 1154593937
Chiropractor in Renton, WA

Active since April 01, 2008
1800 NE 44TH ST STE 223, RENTON, WA 98056(206) 852-7960 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lakeside Spine And Wellness NPPES

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

LAKESIDE SPINE AND WELLNESS (NPI 1154593937) is a healthcare organization registered as a chiropractor in Renton, Washington and active in the NPI registry since April 2008. The organization lists Andrew Winger, Owner, as its authorized official.

NPPES Registry Identity

NPI1154593937
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLAKESIDE SPINE AND WELLNESS LLC
Location Address1800 NE 44TH ST STE 223Renton, WA 98056-9035
Mailing Address2524 Camas Ave NeRenton, WA 98056-2226 · (206) 852-7960
Organization SubpartNo
Authorized OfficialAndrew WingerOwner · (206) 852-7960
Enumeration DateApril 1, 2008
Last NPPES UpdateSeptember 11, 2023
NPPES CertifiedSeptember 11, 2023
✔ NPI 1154593937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedSpecialistTaxonomy 174400000X
1800 NE 44TH ST STE 223, Renton, WA 98056

Other Names 1

Doing Business AsLakeside Spine And Wellness

Other Identifiers 3

Other1629035571Npi
Other1972566529Npi
Other1386812469Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lakeside Spine And Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lakeside Spine And Wellness, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1629035571
1800 NE 44TH ST STE 223
Renton, WA 98056
(206) 852-7960
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Spine And Wellness LLC's NPI number?

The NPI number for Lakeside Spine And Wellness LLC is 1154593937. It was assigned to this organization in the NPPES registry on April 1, 2008. The provider is doing business as Lakeside Spine And Wellness.

Where is Lakeside Spine And Wellness LLC located?

Lakeside Spine And Wellness LLC is located at 1800 NE 44th St Ste 223, Renton, WA 98056. The listed phone number is (206) 852-7960.

What is Lakeside Spine And Wellness LLC's specialty?

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

Is Lakeside Spine And Wellness LLC enrolled in Medicare?

Yes. Lakeside Spine And Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeside Spine And Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Lakeside Spine And Wellness LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lakeside Spine And Wellness LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Lakeside Spine And Wellness LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lakeside Spine And Wellness LLC was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.