LAKE STATE CHIROPRACTIC PLLC
NPI 1215540463
Chiropractor in Byron Center, MI

Q: What is Lake State Chiropractic PLLC's NPI number?

The NPI number for Lake State Chiropractic PLLC is 1215540463. It was assigned to this organization in the NPPES registry on August 27, 2020.

Q: What is Lake State Chiropractic PLLC's specialty?

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

Active since August 27, 2020

2155 84TH ST SW STE 4, BYRON CENTER, MI 49315(269) 330-0352 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lake State Chiropractic Pllc NPPES

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

LAKE STATE CHIROPRACTIC PLLC (NPI 1215540463) is a healthcare organization registered as a chiropractor in Byron Center, Michigan and active in the NPI registry since August 2020. The organization lists Kevin James Sundberg, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1215540463

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameLAKE STATE CHIROPRACTIC PLLC

Location Address2155 84TH ST SW STE 4Byron Center, MI 49315-8259

Mailing Address4463 Penny Ln SwWyoming, MI 49418-9383 · (269) 330-0352

Phone(269) 330-0352

Organization SubpartNo

Authorized OfficialKevin James SundbergOwner/doctor · (269) 330-0352

Enumeration DateAugust 27, 2020

NPPES CertifiedAugust 27, 2020

✔ NPI 1215540463 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.

2155 84TH ST SW STE 4, Byron Center, MI 49315

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Other Identifiers 2

Other1972017481MI · Individual Npi

Other2301010620MI · Chiropractic License

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

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 Lake State Chiropractic PLLC's NPI number?

The NPI number for Lake State Chiropractic PLLC is 1215540463. It was assigned to this organization in the NPPES registry on August 27, 2020.

Where is Lake State Chiropractic PLLC located?

Lake State Chiropractic PLLC is located at 2155 84th St SW Ste 4, Byron Center, MI 49315. The listed phone number is (269) 330-0352.

What is Lake State Chiropractic PLLC'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 Lake State Chiropractic PLLC was last updated on August 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.