Individual provider Active NPI

Luke Preston Audirsch, DC

  • Chiropractor
  • Cabot, AR
National Provider Identifier
1306512488
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16294 Issued in AR
Practice address
2061 W Main St Ste a
Cabot, AR 72023-7880
Phone
(870) 816-7607
NPI assigned
Aug 19, 2021
Last updated
May 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16294 AR Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220228001554 AR Practitioner - Chiropractic 6901290436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16294ARMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Luke Audirsch Chiropractic PA Chiropractor CurrentSince Mar 1, 2022 Accepting new patients

Locations

2061 W Main St
Ste A
Cabot, AR 72023
Phone (501) 605-6660

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1306512488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 W MAIN ST STE A",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237880",
            "telephone_number": "501-605-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 W MAIN ST STE A",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237880",
            "telephone_number": "870-816-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUDIRSCH",
        "first_name": "LUKE",
        "middle_name": "PRESTON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-19",
        "last_updated": "2022-05-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabot, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.