Active NPI
Eddy D Luke, D.C.
- Chiropractor
- Altoona, PA
National Provider Identifier
1174549414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC009604
- Practice address
- 1915 Valley View Blvd Rear
Altoona, PA 16602-6527 - Phone
- (814) 941-1400
- Fax
- (814) 941-0862
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
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 | DC009604 | PA | Primary |
Addresses
Primary practice location
1915 Valley View Blvd Rear
Altoona, PA 16602-6527
Mailing address
PO Box 1104
Altoona, PA 16603-1104
Phone (814) 943-4116
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LU1840594 | Other | PA | BS INDIV PROV NUMBER |
| 1575599 | Other | PA | HIGHMARK BC/BS GROUP NUMB |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1554 Valley View Blvd
Altoona, PA 16602-6039
Phone (814) 941-1400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC009604 | PA | MD | Chiropractor |
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 and National Provider Directory roles.
-
- Chiropractor
- Altoona, PA
- NPI 1215955646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174549414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1104",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166031104",
"telephone_number": "814-943-4116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 VALLEY VIEW BLVD REAR",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166026527",
"telephone_number": "814-941-1400",
"fax_number": "814-941-0862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKE",
"first_name": "EDDY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC009604",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS INDIV PROV NUMBER",
"identifier": "LU1840594",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BC/BS GROUP NUMB",
"identifier": "1575599",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.