Active NPI
Luke Mitchell Abdelnoor, DC
- Chiropractor
- Vancouver, WA
National Provider Identifier
1104655497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- ABDE1796298
- Practice address
- 601 E 22ND St
Vancouver, WA 98663-3208 - Phone
- (360) 537-5500
- NPI assigned
- Jul 26, 2024
- Last updated
- Jul 26, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | ABDE1796298 | WA | Primary |
Addresses
Primary practice location
601 E 22ND St
Vancouver, WA 98663-3208
Mailing address
812 NW 132ND St Apt C
Vancouver, WA 98685-1914
Phone (360) 929-3153
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 E 22ND St
Vancouver, WA 98663-3208
Phone (360) 573-5500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gehm Chiropractic Services | Current | Accepting new patients |
Locations
601 E 22nd St
Vancouver, WA 98663
Phone (360) 513-0575
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Vancouver, WA
- NPI 1811453327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1104655497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 NW 132ND ST APT C",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986851914",
"telephone_number": "360-929-3153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E 22ND ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986633208",
"telephone_number": "360-537-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDELNOOR",
"first_name": "LUKE",
"middle_name": "MITCHELL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-26",
"last_updated": "2024-07-26",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "ABDE1796298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.