OrganizationActiveAccepts Medicare
Lake Chiropractic, PC
NPI 1972659464 · Chiropractor · Palmyra, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1972659464
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Richard Wells, President(434) 589-8005
- License
- 0104556095 (VA)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
11 Centre Ct
Palmyra, VA 22963-2329
Phone: (434) 589-8005
Fax: (434) 589-1401
Street-level locationGet directions
Mailing address
11 Centre Ct
Palmyra, VA 22963-2329
Registry dates
- Enumerated
- 2007-01-26
- Last updated
- 2026-01-20
- Certified
- 2026-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.