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DR. ANDREW EDGAR LAKE D.C.
NPI 1902918519
Chiropractor in Bayfield, CO

Active since August 31, 2006
40031 US HIGHWAY 160, SUITE C, BAYFIELD, CO 81122(970) 884-1072(970) 884-1074 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Andrew Edgar Lake D.c. NPPES

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

DR. ANDREW EDGAR LAKE D.C. (NPI 1902918519) is an individual chiropractor in Bayfield, Colorado, licensed in Colorado (5818) and active in the NPI registry since August 2006. He is a graduate of Other (2005).

NPPES Registry Identity

NPI1902918519
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. ANDREW EDGAR LAKECredential: D.C.
Location Address40031 US HIGHWAY 160, SUITE CBayfield, CO 81122-8746
Mailing AddressPo Box 1745Bayfield, CO 81122-1745 · (970) 884-1072 · Fax (970) 884-1074
Phone(970) 884-1072
Fax(970) 884-1074
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1902918519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in CO · 5818✔ Licensed in NM · 1657
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.
40031 US HIGHWAY 160, Bayfield, CO 81122
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrew Edgar Lake D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759381114
PECOS Enrollment IDI20070109000129

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
994 services119 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
58 services15 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BAYFIELD MASSAGE
Specialist
40031 US HIGHWAY 160, SUITE C
BAYFIELD, CO 81122
La Plata County (970) 884-2455
FARRAH BUCKLEY LMT
Massage Therapist
40031 US HIGHWAY 160
BAYFIELD, CO 81122
La Plata County (970) 884-2455
LAKE CHIROPRACTIC, PC
Chiropractor
40031 US HIGHWAY 160, SUITE C
BAYFIELD, CO 81122
La Plata County (970) 884-1072
JESSICA WOOD C.M.T., R.M.T.
Massage Therapist
40031 US HIGHWAY 160
BAYFIELD, CO 81122
La Plata County (970) 884-2455
MRS. ANN-FRANCES ROYBAL SUTHERLIN MS, RD
Dietitian, Registered
40031 US HIGHWAY 160
BAYFIELD, CO 81122
La Plata County (970) 444-2122

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 Andrew Lake's NPI number?

The NPI number for Andrew Lake is 1902918519. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Andrew Lake located?

Andrew Lake practices at 40031 Us Highway 160 Suite C, Bayfield, CO 81122. The listed phone number is (970) 884-1072.

What is Andrew Lake's specialty?

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

Is Andrew Lake enrolled in Medicare?

Yes. Andrew Lake is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Lake was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.