Organization Active NPI

Lucas Chiropractic LLC

Doing business as Compass Chiropractic

  • Chiropractor
  • High Springs, FL
National Provider Identifier
1114605664
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LUCAS CHIROPRACTIC LLC
Doing business as
Compass Chiropractic
Practice address
18467 NW US Highway 441 Ste 80
High Springs, FL 32643-8795
Phone
(201) 956-3772
NPI assigned
Jul 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Tracie Lynn Restieri Lucas, DCNPI 1750336616
Title
Owner/Dr
Phone
(201) 956-3772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

18467 NW US Highway 441 Ste 80
High Springs, FL 32643-8795

Mailing address

5918 SW 13TH St
Gainesville, FL 32608-5342
Phone (201) 956-3772

Other names 1

  • Compass Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230823001648 FL Part B Supplier - Clinic/Group Practice 2961865035 Receives reassigned benefits from 1 practitioner
Practice locations: High Springs, FL

National Provider Directory

National Provider Directory

Locations

18467 NW US Highway 441
Ste 80
High Springs, FL 32643
Phone (201) 956-3772

18467 NW US Highway 441
High Springs, FL 32643
Phone (201) 956-3772

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1114605664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5918 SW 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326085342",
            "telephone_number": "201-956-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18467 NW US HIGHWAY 441 STE 80",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326438795",
            "telephone_number": "201-956-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCAS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "RESTIERI LUCAS",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/DR",
        "authorized_official_telephone_number": "201-956-3772",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compass Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in High Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.