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LAKE GREGORY CHIROPRACTIC
NPI 1467583963
Chiropractor in Crestline, CA

Active since March 08, 2007
580 FOREST SHADE, SUITE 4, CRESTLINE, CA 92325(909) 338-6477(909) 338-1639 Get Directions Write a Review

NPPES record last updated: December 8, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lake Gregory Chiropractic NPPES

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

LAKE GREGORY CHIROPRACTIC (NPI 1467583963) is a healthcare organization registered as a chiropractor in Crestline, California and active in the NPI registry since March 2007. The organization lists John Bueler Jr., Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1467583963
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDR. JOHN BUELER JR CHIROPRACTIC PROF CORPORATION
Location Address580 FOREST SHADE, SUITE 4Crestline, CA 92325-0989
Mailing AddressPo Box 989Crestline, CA 92325-0989 · (909) 338-6477 · Fax (909) 338-1639
Phone(909) 338-6477
Fax(909) 338-1639
Organization SubpartNo
Authorized OfficialJohn Bueler Jr.Chiropractor · (909) 338-6477
Enumeration DateMarch 8, 2007
Last NPPES UpdateDecember 8, 2011
✔ NPI 1467583963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC 17037
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.
580 FOREST SHADE, Crestline, CA 92325
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Other Names 1

Doing Business AsLake Gregory Chiropractic

Other Identifiers 2

Medicare PINZZZ07035ZCA
Medicare ID-Type UnspecifiedDC0170371CA

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)

Lake Gregory Chiropractic 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 Lake Gregory Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

John Bueler, DC
Chiropractic
NPI 1619958147
580 FOREST SHADE #4
Crestline, CA 92325
(909) 338-6477
✔ 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 Dr. John Bueler Jr Chiropractic Prof Corporation's NPI number?

The NPI number for Dr. John Bueler Jr Chiropractic Prof Corporation is 1467583963. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider is doing business as Lake Gregory Chiropractic.

Where is Dr. John Bueler Jr Chiropractic Prof Corporation located?

Dr. John Bueler Jr Chiropractic Prof Corporation is located at 580 Forest Shade Suite 4, Crestline, CA 92325. The listed phone number is (909) 338-6477.

What is Dr. John Bueler Jr Chiropractic Prof Corporation's specialty?

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

Is Dr. John Bueler Jr Chiropractic Prof Corporation enrolled in Medicare?

Yes. Dr. John Bueler Jr Chiropractic Prof Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr. John Bueler Jr Chiropractic Prof Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Dr. John Bueler Jr Chiropractic Prof Corporation. 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 Dr. John Bueler Jr Chiropractic Prof Corporation was last updated on December 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.