Individual provider Active NPI

Luke P Sena, DC

  • Chiropractor
  • Glendale Heights, IL
National Provider Identifier
1003144841
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.011459 Issued in IL
Practice address
1136 Bloomingdale Road
Glendale Heights, IL 60139-5919
Phone
(630) 215-6822
Fax
(630) 690-4680
NPI assigned
Dec 4, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.011459 IL Primary

Addresses

Primary practice location

1136 Bloomingdale Road
Glendale Heights, IL 60139-5919

Mailing address

1136 Bloomingdale Road
Glendale Heights, IL 60139-5919
Phone (630) 215-6822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110906000315 IL Practitioner - Chiropractic 3072783869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1136 Bloomingdale Rd
Glendale Heights, IL 60139-3498
Phone (630) 215-6822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.011459ILMDChiropractor

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1003144841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 BLOOMINGDALE ROAD",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601395919",
            "telephone_number": "630-215-6822",
            "fax_number": "630-690-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 BLOOMINGDALE ROAD",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601395919",
            "telephone_number": "630-215-6822",
            "fax_number": "630-690-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENA",
        "first_name": "LUKE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-04",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.