1. Home
  2. Directory
  3. Pennsylvania
  4. Conneaut Lake
  5. Chiropractor
  6. NPI Profile

LAKESIDE CHIROPRACTIC PC
NPI 1992713903
Chiropractor in Conneaut Lake, PA

Active since August 04, 2006
10633 STATE HIGHWAY 18, CONNEAUT LAKE, PA 16316(814) 382-1970(814) 382-3619 Get Directions Write a Review

NPPES record last updated: May 3, 2023. 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 1992713903) is a healthcare organization registered as a chiropractor in Conneaut Lake, Pennsylvania and active in the NPI registry since August 2006. The organization lists Timothy B Vyrostek, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1992713903
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLAKESIDE CHIROPRACTIC PC
Location Address10633 STATE HIGHWAY 18Conneaut Lake, PA 16316-3225
Mailing Address10633 State Highway 18Conneaut Lake, PA 16316-3225 · (814) 382-1970 · Fax (814) 382-3619
Phone(814) 382-1970
Fax(814) 382-3619
Organization SubpartNo
Authorized OfficialTimothy B VyrostekClinic Director · (814) 382-1970
Enumeration DateAugust 4, 2006
Last NPPES UpdateMay 3, 2023
NPPES CertifiedMay 3, 2023
✔ NPI 1992713903 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.
10633 STATE HIGHWAY 18, Conneaut Lake, PA 16316
Open in Google Maps ↗

Other Identifiers 2

Other350056097PA · Palmetto Gba
Other350056097PA · Rr Medicare

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

Other Providers at the Same Location NPPES

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

DR. TIMOTHY B VYROSTEK DC CCSP
Chiropractor (Sports Physician)
10633 STATE HIGHWAY 18
CONNEAUT LAKE, PA 16316
Crawford County (814) 382-1970

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 1992713903. It was assigned to this organization in the NPPES registry on August 4, 2006.

Where is Lakeside Chiropractic PC located?

Lakeside Chiropractic PC is located at 10633 State Highway 18, Conneaut Lake, PA 16316. The listed phone number is (814) 382-1970.

What is Lakeside Chiropractic PC'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 Lakeside Chiropractic PC was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.