Active NPI
David Robert Lutz, D.C.
- Chiropractor
- Cape Coral, FL
National Provider Identifier
1245276302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4667
- Practice address
- 3326 SW 4TH Place
Cape Coral, FL 33914 - Phone
- (502) 386-9385
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH12511 | FL | |
| Chiropractor | 111N00000X | 4667 | KY | Primary |
Addresses
Primary practice location
3326 SW 4TH Place
Cape Coral, FL 33914
Mailing address
3026 SW 4TH PL
Cape Coral, FL 33914-4595
Phone (502) 386-9385
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2735025000 | Other | KY | PASSPORT ADVANTAGE |
| 50011059 | Other | KY | PASSPORT |
| 85002319 | Medicaid | KY | |
| 9989010 | Other | KY | CIGNA PAL |
| P00428704 | Other | KY | PALMETTO RAILROAD MEDICARE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shepherdsville Chiropractic and Rehab LLC | Chiropractor | Past | Accepting new patients |
| D.R. Thomas V. Jacques D.C., PSC | Chiropractor | Past | Accepting new patients |
| Lutz Health and Wellness LLC | Chiropractor | Past | Accepting new patients |
| Shepherdsville Chiropractic, LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 4
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
- Cape Coral, FL
- NPI 1225515422
-
- Chiropractor
- Shepherdsville, KY
- NPI 1811921083
-
- Chiropractor
- Louisville, KY
- NPI 1871693770
-
- Chiropractor
- Shepherdsville, KY
- NPI 1245694660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1245276302",
"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",
"telephone_number": "502-386-9385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3326 SW 4TH PLACE",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "33914",
"telephone_number": "502-386-9385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTZ",
"first_name": "DAVID",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12511",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4667",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE",
"identifier": "2735025000",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50011059",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85002319",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PAL",
"identifier": "9989010",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO RAILROAD MEDICARE",
"identifier": "P00428704",
"state": "KY"
}
],
"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 23, 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.