Individual provider Active NPI

Gene Paul Lusk, D C

  • Thermography Chiropractor
  • San Angelo, TX
National Provider Identifier
1467462564
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thermography ChiropractorTaxonomy code 111NT0100X
License
2176 Issued in TX
Practice address
225 S David St
San Angelo, TX 76903-6335
Phone
(325) 655-3666
Fax
(325) 655-5278
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thermography Chiropractor 111NT0100X 2176 TX Primary

Addresses

Primary practice location

225 S David St
San Angelo, TX 76903-6335

Mailing address

225 S David St
San Angelo, TX 76903-6335
Phone (325) 655-3666

Other identifiers 1

IdentifierTypeStateIssuer
T14519OtherTXBLK 17A FORM CMS 1500

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2176TXMDThermography Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
C1 Legacy LLC PastSince Feb 23, 2012 Accepting new patients

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467462564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S DAVID ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036335",
            "telephone_number": "325-655-3666",
            "fax_number": "325-655-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S DAVID ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036335",
            "telephone_number": "325-655-3666",
            "fax_number": "325-655-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSK",
        "first_name": "GENE",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NT0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Thermography",
            "state": "TX",
            "license": "2176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLK 17A FORM CMS 1500",
            "identifier": "T14519",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.