Individual provider Active NPI

Angela G Lucterhand, D.C.

  • Chiropractor
  • Elkhart, IN
National Provider Identifier
1023337235
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002506A Issued in IN
Practice address
663 County Road 17
Suite 3
Elkhart, IN 46516-9329
Phone
(574) 522-2255
NPI assigned
May 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002506A IN Primary

Addresses

Primary practice location

663 County Road 17
Suite 3
Elkhart, IN 46516-9329

Mailing address

663 County Road 17
Suite 3
Elkhart, IN 46516-9329
Phone (574) 522-2255

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

LicenseStateTypeSpecialty
08002506AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hendricks Chiropractic PC Chiropractor PastSince May 22, 2007 Accepting new patients

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": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1023337235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 COUNTY ROAD 17",
            "address_2": "SUITE 3",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465169329",
            "telephone_number": "574-522-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 COUNTY ROAD 17",
            "address_2": "SUITE 3",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465169329",
            "telephone_number": "574-522-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCTERHAND",
        "first_name": "ANGELA",
        "middle_name": "G",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002506A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.