OrganizationActive
Lakeside Chiropractic PC
NPI 1417133265 · Clinic/Center · Show Low, AZ
Lakeside Chiropractic PC is a Clinic/Center organization in Show Low, AZ (NPI 1417133265).
Provider details
- NPI number
- 1417133265
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Richard Boatright, President(928) 532-1225
- License
- 5129 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1640 E Oliver Pl
Show Low, AZ 85901-6117
Phone: (928) 532-1225
Fax: (928) 532-2276
Street-level locationGet directions
Mailing address
Po Box 3330
Pinetop, AZ 85935-3330
Registry dates
- Enumerated
- 2008-01-10
- Last updated
- 2008-03-07
Frequently asked questions
- What is Lakeside Chiropractic PC's NPI number?
- Lakeside Chiropractic PC's National Provider Identifier (NPI) is 1417133265, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Chiropractic PC?
- Lakeside Chiropractic PC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lakeside Chiropractic PC located?
- Lakeside Chiropractic PC's practice location on file with NPPES is 1640 E Oliver Pl, Show Low, AZ 85901-6117.
- What is Lakeside Chiropractic PC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Chiropractic PC is (928) 532-1225.
- Who is the authorized official for Lakeside Chiropractic PC?
- The authorized official listed on Lakeside Chiropractic PC's NPPES record is Richard Boatright, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Chiropractic PC's NPI active?
- Yes — Lakeside Chiropractic PC's NPI (1417133265) is active in the NPPES registry as of the last update on 2008-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.