Individual provider Active NPI

Lucas David Gafken, D.C.

  • Chiropractor
  • Auburn, IN
National Provider Identifier
1053645531
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002478A Issued in IN
Practice address
2146 State Road 8
Auburn, IN 46706-9548
Phone
(260) 925-5101
NPI assigned
Sep 30, 2009
Last updated
Sep 30, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002478A IN Primary

Addresses

Primary practice location

2146 State Road 8
Auburn, IN 46706-9548

Mailing address

2146 State Road 8
Auburn, IN 46706-9548
Phone (260) 925-5101

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091020000350 IN Practitioner - Chiropractic 2062559339 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002478AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gafken Chiropractic Centre, PC Chiropractor CurrentSince Oct 5, 2009 Accepting new patients
Major Hospital Past Accepting new patients

Locations

2146 State Road 8
Auburn, IN 46706
Phone (219) 925-5101

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.

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254268800000",
    "number": "1053645531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2146 STATE ROAD 8",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467069548",
            "telephone_number": "260-925-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2146 STATE ROAD 8",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467069548",
            "telephone_number": "260-925-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFKEN",
        "first_name": "LUCAS",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002478A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.

Verify at the official NPI Registry.