Active NPI
Michael Dillon Luterek, DC
- Chiropractor
- Georgetown, TX
National Provider Identifier
1407617988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 15888
- Practice address
- 305 Gulfstream Dr
Georgetown, TX 78626-6326 - Phone
- (512) 630-5818
- NPI assigned
- Jan 22, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 15888 | TX | Primary |
Addresses
Primary practice location
305 Gulfstream Dr
Georgetown, TX 78626-6326
Mailing address
305 Gulfstream Dr
Georgetown, TX 78626-6326
Phone (512) 630-5818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15888 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1407617988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 GULFSTREAM DR",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786266326",
"telephone_number": "512-630-5818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 GULFSTREAM DR",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786266326",
"telephone_number": "512-630-5818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTEREK",
"first_name": "MICHAEL",
"middle_name": "DILLON",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-22",
"last_updated": "2024-01-22",
"certification_date": "2024-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "15888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.