Active NPI
Tracy Dallas Lummus, D.C.
- Chiropractor
- Conway, SC
National Provider Identifier
1275712150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5142
- Practice address
- 1501 9TH Ave
Conway, SC 29526-4107 - Phone
- (843) 248-0104
- Fax
- (843) 248-4046
- NPI assigned
- Oct 29, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5142 | KY | Primary |
Addresses
Primary practice location
1501 9TH Ave
Conway, SC 29526-4107
Mailing address
1501 9TH Ave
Conway, SC 29526-4107
Phone (843) 248-0104
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Falk Family Total Health, LLC | Past | Accepting new patients | |
| Chiro One Wellness Center of Mill Pond PLLC | Chiropractor | Past | Accepting new patients |
| Falk Family Chiropractic Center P.C | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
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
- Conway, SC
- NPI 1821043464
-
- Family Medicine Physician
- Conway, SC
- NPI 1780236638
-
- Chiropractor
- Lexington, KY
- NPI 1366606501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343952000000",
"number": "1275712150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 9TH AVE",
"city": "CONWAY",
"state": "SC",
"postal_code": "295264107",
"telephone_number": "843-248-0104",
"fax_number": "843-248-4046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 9TH AVE",
"city": "CONWAY",
"state": "SC",
"postal_code": "295264107",
"telephone_number": "843-248-0104",
"fax_number": "843-248-4046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUMMUS",
"first_name": "TRACY",
"middle_name": "DALLAS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-29",
"last_updated": "2012-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "5142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.