Eric Luper, DC
Individual provider Active NPI Chiropractor · Menands, NY
NPI 1205857059 · NPPES record last updated Jan 11, 2021
Key facts
- NPI
- 1205857059
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- X009456-1 (NY)
- Practice address
- 319 Broadway
Menands, NY 12204 - Phone
- (518) 472-9130
- Fax
- (518) 472-9351
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
319 Broadway
Menands, NY 12204-2767
Phone (518) 472-9130
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080627000451 | NY | Practitioner - Chiropractic | 0244231637 | Practice locations: Menands, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X009456-1 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Performance Chiropractic, LLC | Current |
Accepting new patients |
Locations
350 Northern Blvd
Ste 103
Albany, NY 12204
Phone (518) 472-9130
319 Broadway
Ste 1
Menands, NY 12204
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X009456-1 | NY | Yes |
Addresses
Primary practice location
319 Broadway
Menands, NY 12204
Mailing address
319 Broadway
Menands, NY 12204
Phone (518) 472-9130
Other providers in Menands, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.