Active NPI
Lutz Health and Wellness LLC
- Chiropractor
- Cape Coral, FL
National Provider Identifier
1225515422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12511
- Legal business name
- LUTZ HEALTH AND WELLNESS LLC
- Practice address
- 1611 Santa Barbara Blvd Ste 170
Cape Coral, FL 33991-3448 - Phone
- (239) 772-2266
- NPI assigned
- Jul 20, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Robert Lutz, DC
- Title
- Owner
- Phone
- (502) 386-9385
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH12511 | FL | Primary |
Addresses
Primary practice location
1611 Santa Barbara Blvd Ste 170
Cape Coral, FL 33991-3448
Mailing address
3026 SW 4TH PL
Cape Coral, FL 33914-4595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245276302 | Other | INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Cape Coral, FL
- NPI 1245276302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1532044800000",
"number": "1225515422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3026 SW 4TH PL",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339144595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 SANTA BARBARA BLVD STE 170",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339913448",
"telephone_number": "239-772-2266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUTZ HEALTH AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-20",
"last_updated": "2018-07-20",
"status": "A",
"authorized_official_last_name": "LUTZ",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "502-386-9385",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12511",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1245276302",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.