LAKESIDE CHIROPRACTIC CLINIC PC
NPI 1215267752
Chiropractor in Lakeside, MT
About Lakeside Chiropractic Clinic Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKESIDE CHIROPRACTIC CLINIC PC (NPI 1215267752) is a healthcare organization registered as a chiropractor in Lakeside, Montana and active in the NPI registry since January 2010. The organization lists Susan Kinkade Antley, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lakeside Chiropractic Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lakeside Chiropractic Clinic PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Chiropractic Clinic PC's NPI number?
The NPI number for Lakeside Chiropractic Clinic PC is 1215267752. It was assigned to this organization in the NPPES registry on January 6, 2010.
Where is Lakeside Chiropractic Clinic PC located?
Lakeside Chiropractic Clinic PC is located at 7176 Hwy 93 S, Lakeside, MT 59922. The listed phone number is (406) 844-2151.
What is Lakeside Chiropractic Clinic PC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Lakeside Chiropractic Clinic PC enrolled in Medicare?
Yes. Lakeside Chiropractic Clinic PC is registered in the Medicare PECOS enrollment system.
When is Lakeside Chiropractic Clinic PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Montana, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Lakeside Chiropractic Clinic PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Lakeside Chiropractic Clinic PC. 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.
When was this NPI record last updated?
The NPPES record for Lakeside Chiropractic Clinic PC was last updated on March 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Lakeside Chiropractic Clinic Pc · NPI 1215267752
Chiropractor organization in Lakeside, Montana. Organization record, active in the CMS NPPES registry since January 6, 2010.
## Identity
- **NPI:** 1215267752 (Entity type: Organization)
- **Enumerated:** January 6, 2010
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Susan Antley, OWNER
## Practice location
- **Address:** 7176 HWY 93 S, Lakeside, MT 59922
- **Phone:** (406) 844-2151
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Montana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 16, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1215267752) · Data from the CMS NPPES public registry.