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LAKESHORE CHIROPRACTIC WELLNESS PLLC
NPI 1396525002
Chiropractor in Derby, NY

Active since October 02, 2023
6778 ERIE RD, DERBY, NY 14047(716) 947-5106(716) 947-9329 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lakeshore Chiropractic Wellness Pllc NPPES

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

LAKESHORE CHIROPRACTIC WELLNESS PLLC (NPI 1396525002) is a healthcare organization registered as a chiropractor in Derby, New York and active in the NPI registry since October 2023. The organization lists Timothy Alan Smith, Owner - Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1396525002
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLAKESHORE CHIROPRACTIC WELLNESS PLLC
Location Address6778 ERIE RDDerby, NY 14047-9672
Mailing Address4711 Clark StHamburg, NY 14075-3905 · (716) 947-5106 · Fax (716) 947-9329
Phone(716) 947-5106
Fax(716) 947-9329
Organization SubpartNo
Authorized OfficialTimothy Alan SmithOwner - Chiropractor · (716) 208-6039
Enumeration DateOctober 2, 2023
Last NPPES UpdateFebruary 23, 2024
NPPES CertifiedFebruary 22, 2024
✔ NPI 1396525002 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.
6778 ERIE RD, Derby, NY 14047
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lakeshore Chiropractic Wellness Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lakeshore Chiropractic Wellness PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Timothy Smith, DC
Chiropractic
NPI 1598743163
6778 ERIE RD
Derby, NY 14047
(716) 947-5106
✔ Accepts MedicareSame address
Heather Monin, D.C.
Chiropractic
NPI 1265567358
656 ELMWOOD AVE
Buffalo, NY 14222
(716) 883-0515
✔ Accepts Medicare15 mi

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 Lakeshore Chiropractic Wellness PLLC's NPI number?

The NPI number for Lakeshore Chiropractic Wellness PLLC is 1396525002. It was assigned to this organization in the NPPES registry on October 2, 2023.

Where is Lakeshore Chiropractic Wellness PLLC located?

Lakeshore Chiropractic Wellness PLLC is located at 6778 Erie Rd, Derby, NY 14047. The listed phone number is (716) 947-5106.

What is Lakeshore Chiropractic Wellness PLLC's specialty?

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

Is Lakeshore Chiropractic Wellness PLLC enrolled in Medicare?

Yes. Lakeshore Chiropractic Wellness PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeshore Chiropractic Wellness PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Lakeshore Chiropractic Wellness PLLC. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lakeshore Chiropractic Wellness PLLC was last updated on February 23, 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.