Individual provider Active NPI

Lucas John Reineck, D.C.

  • Chiropractor
  • Milford, OH
National Provider Identifier
1447423777
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3892 Issued in OH
Practice address
1007 State Route 28 Ste C
Milford, OH 45150-2094
Phone
(513) 831-4433
Fax
(513) 831-4440
NPI assigned
Apr 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3892 OH Primary

Addresses

Primary practice location

1007 State Route 28 Ste C
Milford, OH 45150-2094

Mailing address

6045 Delicious Asha CT
Loveland, OH 45140-8189
Phone (419) 509-9803

Other identifiers 1

IdentifierTypeStateIssuer
000000572039OtherOHANTHEM

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

LicenseStateTypeSpecialty
3892OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Damron Chiropractic & Wellness Chiropractor PastSince Jan 5, 2024 Accepting new patients
Roth Chiropractic, LLC Chiropractor Past Accepting new patients

Organizations & group practices 2

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": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1447423777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6045 DELICIOUS ASHA CT",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451408189",
            "telephone_number": "419-509-9803",
            "fax_number": "513-831-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 STATE ROUTE 28 STE C",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451502094",
            "telephone_number": "513-831-4433",
            "fax_number": "513-831-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINECK",
        "first_name": "LUCAS",
        "middle_name": "JOHN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000572039",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.