Lucas Todd Vanacker, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

012619 Issued in NY

Practice address

213 Main St
Ste 106
Massena, NY 13662-2905

Phone

(315) 705-4410

NPI assigned

Jan 12, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vanacker Chiropractic, PC

  • Chiropractor
  • Massena, NY
  • NPI 1669004313
  Medicare reassignment NPD Authorized official
• Witkop Hometown Chiropractic, PC

  • Chiropractor
  • Massena, NY
  • NPI 1598999161
  NPD (past)

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1346639663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 ST LAWRENCE AVE",
            "city": "WADDINGTON",
            "state": "NY",
            "postal_code": "13694",
            "telephone_number": "585-797-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 MAIN ST",
            "address_2": "STE 106",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136622905",
            "telephone_number": "315-705-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANACKER",
        "first_name": "LUCAS",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-12",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri-Lakes Home Medical Equipment, Inc.
• Alanna Laurel Tyo
• Carrie Rose Tyo, SLP
• Dominique Valancius
• Vanacker Chiropractic, PC
• George Lesher Vanbuskirk, LCSW
• Mary Ann Vanbuskirk, LCSW
• Richard Calvin Vangorden
• Manuel Vazquez-Senior, MD
• Tommie Jo Villnave

• Chiropractor in Massena, NY
• Providers in Massena, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.