Benjamin Alan Luczak, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4574 Issued in WI

Practice address

N68W28550 Sussex Rd
Suite 2
Hartland, WI 53029-9630

Phone

(262) 538-1630

Fax

(262) 538-1628

NPI assigned

Dec 21, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Falls Chiropractic Group SC

  • Chiropractor
  • Menomonee Falls, WI
  • NPI 1922029016
  Medicare reassignment NPD
• Russell R Hauser DC LLC

  • Chiropractor
  • Merton, WI
  • NPI 1558458026
  Medicare reassignment NPD

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1093044133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N68W28550 SUSSEX RD",
            "address_2": "SUITE 2",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530299630",
            "telephone_number": "262-538-1630",
            "fax_number": "262-538-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N68W28550 SUSSEX RD",
            "address_2": "SUITE 2",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530299630",
            "telephone_number": "262-538-1630",
            "fax_number": "262-538-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCZAK",
        "first_name": "BENJAMIN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-21",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lending Hands Healthcare LLC
• John C Lesniak, M.D.
• Lifespan Psychotherapy
• Jonathan Romeo Lo, D.C.
• Kelly Jo Loesch, MT-BC, WMTR
• Bridget Ann Lutz, B.A., R.N.
• Erin Lynn Malone, MS, CRC, LPC, SAC
• Konstantina Nicole Marlis
• Chelsea L Matley, RN, CCP
• Sheila K Maurer, PA-C

• Chiropractor in Hartland, WI
• Providers in Hartland, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.