Active NPI
Samuel Elias Lucha, D.C.
- Chiropractor
- Saint Cloud, FL
National Provider Identifier
1043352669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12276
- Practice address
- 1320 Louisiana Ave Ste D
Saint Cloud, FL 34769-4116 - Phone
- (407) 593-8052
- Fax
- (407) 593-9014
- NPI assigned
- Feb 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH12276 | FL | Primary |
Addresses
Primary practice location
1320 Louisiana Ave Ste D
Saint Cloud, FL 34769-4116
Mailing address
1320 Louisiana Ave Ste D
Saint Cloud, FL 34769-4116
Phone (407) 593-8052
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | luchachiropractic@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lucha Chiropractic Quality Center LLC | Chiropractor | Current | Accepting new patients |
| Lucha Chiropractic, Inc. | Past | Accepting new patients |
Locations
1320 Louisiana Ave
Ste D
Saint Cloud, FL 34769
Phone (407) 593-8052
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 and National Provider Directory roles.
-
- Chiropractor
- Saint Cloud, FL
- NPI 1093311854
-
- Clinic/Center
- Concord, CA
- NPI 1366584963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1043352669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 LOUISIANA AVE STE D",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347694116",
"telephone_number": "407-593-8052",
"fax_number": "407-593-9014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 LOUISIANA AVE STE D",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347694116",
"telephone_number": "407-593-8052",
"fax_number": "407-593-9014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCHA",
"first_name": "SAMUEL",
"middle_name": "ELIAS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12276",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "luchachiropractic@gmail.com",
"affiliation": "N",
"endpointDescription": "email address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1320 Louisiana Ave Ste D",
"city": "Saint Cloud",
"state": "FL",
"country_code": "US",
"postal_code": "347694116",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Cloud, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.