Individual provider Active NPI

Lane M Luxon, D.C.

  • Chiropractor
  • Lynden, WA
National Provider Identifier
1437235520
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002166 Issued in WA
Practice address
105 5TH St
#205
Lynden, WA 98264-1966
Phone
(360) 318-0123
Fax
(360) 318-0424
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00002166 WA Primary
Chiropractor 111N00000X 17996 CA

Addresses

Primary practice location

105 5TH St
#205
Lynden, WA 98264-1966

Mailing address

PO Box 388
Lynden, WA 98264-0388
Phone (360) 318-0123

Other identifiers 1

IdentifierTypeStateIssuer
117269OtherWALABOR & INDUSTRIES

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070423000474 WA Practitioner - Chiropractic 2062517899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 5TH St
Suite 105
Lynden, WA 98264-1966
Phone (360) 318-0123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17996CAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lynden Family Chiropractic LLC Chiropractor CurrentSince Mar 1, 2007 Accepting new patients

Locations

105 5th St
Ste 105
Lynden, WA 98264
Phone (360) 318-0123

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1437235520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982640388",
            "telephone_number": "360-318-0123",
            "fax_number": "360-318-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 5TH ST",
            "address_2": "#205",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982641966",
            "telephone_number": "360-318-0123",
            "fax_number": "360-318-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUXON",
        "first_name": "LANE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002166",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "17996",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "117269",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynden, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.