Luke Preston Audirsch, DC
Individual provider Active NPI Chiropractor · Cabot, AR
NPI 1306512488 · NPPES record last updated May 25, 2022
Key facts
- NPI
- 1306512488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 16294 (AR)
- Practice address
- 2061 W Main St Ste a
Cabot, AR 72023-7880 - Phone
- (870) 816-7607
- NPI assigned
- Aug 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2061 W Main St
Suite a
Cabot, AR 72023-7880
Phone (501) 605-6660
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220228001554 | AR | Practitioner - Chiropractic | 6901290436 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luke Audirsch Chiropractic PA | Chiropractor | Current |
Accepting new patients |
Locations
2061 W Main St
Ste A
Cabot, AR 72023
Phone (501) 605-6660
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 16294 | AR | Yes |
Addresses
Primary practice location
2061 W Main St Ste a
Cabot, AR 72023-7880
Mailing address
2061 W Main St Ste a
Cabot, AR 72023-7880
Phone (501) 605-6660
Other providers in Cabot, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2022. 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.