Individual provider Active NPI

David Allen Luquette, DC

  • Chiropractor
  • Nacogdoches, TX
National Provider Identifier
1154315596
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6230 Issued in TX
Practice address
4721 North St
Nacogdoches, TX 75965-1874
Phone
(936) 569-0200
Fax
(936) 569-0262
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6230 TX Primary

Addresses

Primary practice location

4721 North St
Nacogdoches, TX 75965-1874

Mailing address

4721 North St
Nacogdoches, TX 75965-1874
Phone (936) 569-0200

Other identifiers 1

IdentifierTypeStateIssuer
80020SOtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111004000134 TX Practitioner - Chiropractic 9537331145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4721 N St
Nacogdoches, TX 75965-1874
Phone (936) 569-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
6230TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nacogdoches Wellness PLLC Chiropractor CurrentSince Feb 5, 2025 Accepting new patients
Luquette Chiropractic PC Chiropractor CurrentSince Aug 15, 2000 Accepting new patients

Locations

4619 North St
Nacogdoches, TX 75965
Phone (936) 569-0200

4721 North St
Nacogdoches, TX 75965
Phone (936) 569-0200

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.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1154315596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 NORTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651874",
            "telephone_number": "936-569-0200",
            "fax_number": "936-569-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 NORTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651874",
            "telephone_number": "936-569-0200",
            "fax_number": "936-569-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUQUETTE",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80020S",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.