Active NPI
Lucas Craig Ortega, D.C.
- Chiropractor
- Rocky Ford, CO
National Provider Identifier
1013271824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHR6884
- Practice address
- 900 Elm Ave
Rocky Ford, CO 81067-1249 - Phone
- (719) 469-8895
- Fax
- (719) 254-7908
- NPI assigned
- Jun 26, 2012
- Last updated
- Jun 14, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6884 | CO | |
| Chiropractor | 111N00000X | CHR6884 | CO | Primary |
Addresses
Primary practice location
900 Elm Ave
Rocky Ford, CO 81067-1249
Mailing address
605 N 9TH St
Rocky Ford, CO 81067-1013
Phone (719) 469-8895
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 961450955 | Other | CO | TRIWEST |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | avast | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6884 | CO | MD | Chiropractor |
| CHR6884 | CO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back to Health Chiropractic | Chiropractor | Current | Accepting new patients |
| Back to Health Chiropractic PC | Chiropractor | Past | Accepting new patients |
Locations
900 Elm Ave
Rocky Ford, CO 81067
Phone (719) 254-7988
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Rocky Ford, CO
- NPI 1467182295
-
- Chiropractor
- Rocky Ford, CO
- NPI 1821343260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655164800000",
"number": "1013271824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 N 9TH ST",
"city": "ROCKY FORD",
"state": "CO",
"postal_code": "810671013",
"telephone_number": "719-469-8895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 ELM AVE",
"city": "ROCKY FORD",
"state": "CO",
"postal_code": "810671249",
"telephone_number": "719-469-8895",
"fax_number": "719-254-7908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTEGA",
"first_name": "LUCAS",
"middle_name": "CRAIG",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-26",
"last_updated": "2022-06-14",
"certification_date": "2022-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "6884",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "CHR6884",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST",
"identifier": "961450955",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "avast",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "900 Elm Ave",
"city": "Rocky Ford",
"state": "CO",
"country_code": "US",
"postal_code": "810671249",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rocky Ford, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.