Lakeside Chiropractic Clinic PC
NPI 1215267752ActiveOrganization· Chiropractor· Lakeside, MT
Chiropractor in Lakeside, Montana, registered in NPPES in January 2010. The authorized official on file is Susan Kinkade Antley, D.C., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215267752 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 6, 2010 |
| Last updated in NPPES | Mar 16, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | CHI 954 | MT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MT) |
|---|
Other Chiropractor providers in Lakeside
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