Kenneth Lustik, DC

Primary specialty

Radiology ChiropractorTaxonomy code 111NR0200X

License

6455 Issued in TX

Practice address

718 N Buckner Blvd Ste 104
Dallas, TX 75218-2764

Phone

(214) 660-0800

Fax

(214) 660-0804

NPI assigned

Jan 3, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lone Star Radiology Management LLC

  • Radiology Clinic/Center
  • Dallas, TX
  • NPI 1538219290
  NPD (past)
• White Rock Open Air MRI LLC

  • Radiology Clinic/Center
  • Dallas, TX
  • NPI 1841347119
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356408694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 N BUCKNER BLVD STE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182764",
            "telephone_number": "214-660-0800",
            "fax_number": "214-660-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 N BUCKNER BLVD STE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182764",
            "telephone_number": "214-660-0800",
            "fax_number": "214-660-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSTIK",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "TX",
            "license": "6455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Lussier, M.D.
• Aimee Lynne Lusson, PHARMD
• Luster Psychiatry and Associates, P.C.
• Crystal Alexis Luster, M.A. LPC-A
• Kathy Maria Luster, OTR
• Kazia Maria Luszczynska, M.D.
• Bryce Alexander Lutan, MD
• Cynthia Luter, PA-C
• David L Luterman, M.D.
• Candida Jane Lutes, PHD

• Radiology Chiropractor in Dallas, TX
• Providers in Dallas, TX by specialty
• Radiology Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.