Individual provider Active NPI

Ryan Matthew Lukowski, D.C.

  • Chiropractor
  • Fraser, MI
National Provider Identifier
1437456100
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009695 Issued in MI
Practice address
34529 Utica Rd
Fraser, MI 48026-3576
Phone
(586) 285-1090
Fax
(586) 439-5794
NPI assigned
Feb 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009695 MI Primary

Addresses

Primary practice location

34529 Utica Rd
Fraser, MI 48026-3576

Mailing address

34529 Utica Rd
Fraser, MI 48026-3576
Phone (586) 285-1090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110411000598 MI Practitioner - Chiropractic 9931383296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

34529 Utica Rd
Fraser, MI 48026-3576
Phone (989) 213-2416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fraser Center of Natural Therapies Chiropractor CurrentSince Jun 10, 2013 Accepting new patients
Elite Chiropractic, P.C. Chiropractor Past Accepting new patients
Shields Chiropractic LLC Chiropractor Past Accepting new patients
Preferred Chiropractic PLLC Chiropractor PastSince May 11, 2012 Accepting new patients
Preferred Chiropractic PLLC Chiropractor Past Accepting new patients

Locations

34529 Utica Rd
Fraser, MI 48026
Phone (586) 285-1090

34521 Utica Rd
Fraser, MI 48026
Phone (586) 285-1090

Organizations & group practices 5

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": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1437456100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34529 UTICA RD",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480263576",
            "telephone_number": "586-285-1090",
            "fax_number": "586-439-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34529 UTICA RD",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480263576",
            "telephone_number": "586-285-1090",
            "fax_number": "586-439-5794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKOWSKI",
        "first_name": "RYAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-16",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fraser, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.