Organization Active NPI

Kenneth W Luther a Chiropracti

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1396738225
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27775 Issued in CA
Legal business name
KENNETH W LUTHER A CHIROPRACTI
Doing business as
Mar Vista Institute of Health
Practice address
3030 Sawtelle Blvd
Los Angeles, CA 90066-1408
Phone
(310) 391-2617
Fax
(310) 390-0868
NPI assigned
Aug 25, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Authorized official

Name
Dr. Wayne Eichi Higashi, D.C., A.T.C.
Title
Vice President
Phone
(310) 391-2617

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC27775 CA Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC27651 CA

Addresses

Primary practice location

3030 Sawtelle Blvd
Los Angeles, CA 90066-1408

Mailing address

3030 Sawtelle Blvd
Los Angeles, CA 90066-1408
Phone (310) 391-2617

Other names 1

  • Mar Vista Institute of Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1396738225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 SAWTELLE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900661408",
            "telephone_number": "310-391-2617",
            "fax_number": "310-390-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 SAWTELLE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900661408",
            "telephone_number": "310-391-2617",
            "fax_number": "310-390-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH W LUTHER A CHIROPRACTI",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "HIGASHI",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "EICHI",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "310-391-2617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., A.T.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27775",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27651",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mar Vista Institute of Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.