Organization Active NPI

Lucas Matlock DC LLC

  • Chiropractor
  • Manchester, CT
National Provider Identifier
1184488124
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LUCAS MATLOCK DC LLC
Practice address
642 Hilliard St Ste 1218
Manchester, CT 06042-2702
Phone
(678) 794-9334
NPI assigned
Feb 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Cynthia Baligad
Title
Office Manager
Phone
(678) 794-9334

Specialties & licenses 1

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

Addresses

Primary practice location

642 Hilliard St Ste 1218
Manchester, CT 06042-2702

Mailing address

642 Hilliard St Ste 1218
Manchester, CT 06042-2702
Phone (678) 794-9334

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260326000735 CT Part B Supplier - Clinic/Group Practice 2062997299 Receives reassigned benefits from 1 practitioner
Practice locations: Manchester, CT

National Provider Directory

National Provider Directory

Locations

642 Hilliard St
Ste 1218
Manchester, CT 06042
Phone (678) 794-9334

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": "1707436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1184488124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 HILLIARD ST STE 1218",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060422702",
            "telephone_number": "678-794-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 HILLIARD ST STE 1218",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060422702",
            "telephone_number": "678-794-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCAS MATLOCK DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-09",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "BALIGAD",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "678-794-9334"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.