Individual provider Active NPI

Lucas J Pernsteiner, D.C.

  • Chiropractor
  • Hamilton, MT
National Provider Identifier
1043201148
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1021 Issued in MT
Practice address
514 N 1St St
Hamilton, MT 59840-2124
Phone
(406) 273-0237
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1021 MT Primary

Addresses

Primary practice location

514 N 1St St
Hamilton, MT 59840-2124

Mailing address

514 N 1St St
Hamilton, MT 59840-2124
Phone (406) 273-0237

Other identifiers 2

IdentifierTypeStateIssuer
000040523OtherMTBCBS
0164021MedicaidMT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060110000231 MT Practitioner - Chiropractic 9133149008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

514 N 1St St
Hamilton, MT 59840-2124
Phone (406) 375-5290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1021MTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Florence Family Chiropractic, Inc Chiropractor CurrentSince Nov 1, 2005 Accepting new patients

Locations

514 N 1st St
Hamilton, MT 59840
Phone (406) 273-0237

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1043201148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 N 1ST ST",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402124",
            "telephone_number": "406-273-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 N 1ST ST",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402124",
            "telephone_number": "406-273-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNSTEINER",
        "first_name": "LUCAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "1021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000040523",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164021",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.