Lakeshore Chiropractic Wellness PLLC
NPI 1396525002 · Chiropractor · Derby, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lakeshore Chiropractic Wellness PLLC is a Chiropractor organization in Derby, NY (NPI 1396525002).
Provider details
- NPI number
- 1396525002
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Timothy Smith, Owner - Chiropractor(716) 208-6039
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-10-02
- Last updated
- 2024-02-23
- Certified
- 2024-02-22
Frequently asked questions
- What is Lakeshore Chiropractic Wellness PLLC's NPI number?
- Lakeshore Chiropractic Wellness PLLC's National Provider Identifier (NPI) is 1396525002, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeshore Chiropractic Wellness PLLC?
- Lakeshore Chiropractic Wellness PLLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Lakeshore Chiropractic Wellness PLLC located?
- Lakeshore Chiropractic Wellness PLLC's practice location on file with NPPES is 6778 Erie Rd, Derby, NY 14047-9672.
- What is Lakeshore Chiropractic Wellness PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeshore Chiropractic Wellness PLLC is (716) 947-5106.
- Does Lakeshore Chiropractic Wellness PLLC accept Medicare?
- Lakeshore Chiropractic Wellness PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lakeshore Chiropractic Wellness PLLC?
- The authorized official listed on Lakeshore Chiropractic Wellness PLLC's NPPES record is Timothy Smith, Owner - Chiropractor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeshore Chiropractic Wellness PLLC's NPI active?
- Yes — Lakeshore Chiropractic Wellness PLLC's NPI (1396525002) is active in the NPPES registry as of the last update on 2024-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.