Individual provider Active NPI

Ciara Ann Luettgen, D.C.

  • Chiropractor
  • Pottsville, PA
National Provider Identifier
1174945463
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010832 Issued in PA
Practice address
2701 Pottsville Minersville Hwy
Pottsville, PA 17901-9412
Phone
(570) 544-8120
NPI assigned
Jan 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010832 PA Primary

Addresses

Primary practice location

2701 Pottsville Minersville Hwy
Pottsville, PA 17901-9412

Mailing address

192 Indiana Ave
Shenandoah, PA 17976-1301
Phone (570) 590-9806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1174945463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 INDIANA AVE",
            "city": "SHENANDOAH",
            "state": "PA",
            "postal_code": "179761301",
            "telephone_number": "570-590-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 POTTSVILLE MINERSVILLE HWY",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179019412",
            "telephone_number": "570-544-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUETTGEN",
        "first_name": "CIARA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.