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LAKESIDE CHIROPRACTIC PC
NPI 1417133265
Clinic/Center in Show Low, AZ

Active since January 10, 2008
1640 E OLIVER PL, SHOW LOW, AZ 85901(928) 532-1225(928) 532-2276 Get Directions Write a Review

NPPES record last updated: March 7, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeside Chiropractic Pc NPPES

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

LAKESIDE CHIROPRACTIC PC (NPI 1417133265) is a healthcare organization registered as a clinic/center in Show Low, Arizona and active in the NPI registry since January 2008. The organization lists Richard Albert Boatright, President, as its authorized official.

NPPES Registry Identity

NPI1417133265
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLAKESIDE CHIROPRACTIC PC
Location Address1640 E OLIVER PLShow Low, AZ 85901-6117
Mailing AddressPo Box 3330Pinetop, AZ 85935-3330 · (928) 532-1225 · Fax (928) 532-2276
Phone(928) 532-1225
Fax(928) 532-2276
Organization SubpartNo
Authorized OfficialRichard Albert BoatrightPresident · (928) 532-1225
Enumeration DateJanuary 10, 2008
Last NPPES UpdateMarch 7, 2008
✔ NPI 1417133265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in AZ · 5129
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1640 E OLIVER PL, Show Low, AZ 85901
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Other Identifiers 1

Medicare PIN69963AZ

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 PC's NPI number?

The NPI number for Lakeside Chiropractic PC is 1417133265. It was assigned to this organization in the NPPES registry on January 10, 2008.

Where is Lakeside Chiropractic PC located?

Lakeside Chiropractic PC is located at 1640 E Oliver Pl, Show Low, AZ 85901. The listed phone number is (928) 532-1225.

What is Lakeside Chiropractic PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Lakeside Chiropractic PC was last updated on March 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.