Active NPI
Luke Alan Weber, D.C.
- Chiropractor
- Mankato, MN
National Provider Identifier
1487198750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6293
- Practice address
- 1219 Caledonia St
Mankato, MN 56001-4329 - Phone
- (507) 345-7836
- Fax
- (507) 345-7835
- NPI assigned
- Dec 6, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | 6293 | MN | Primary |
Addresses
Primary practice location
1219 Caledonia St
Mankato, MN 56001-4329
Mailing address
1219 Caledonia St
Mankato, MN 56001-4329
Phone (507) 345-7836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1219 Caledonia St
Mankato, MN 56001-4329
Phone (507) 345-7836
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kinetic Chiropractic, P.C. | Chiropractor | Current | Accepting new patients |
Locations
1219 Caledonia St
Mankato, MN 56001
Phone (507) 345-7836
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": "1480982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628553600000",
"number": "1487198750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 CALEDONIA ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "560014329",
"telephone_number": "507-345-7836",
"fax_number": "507-345-7835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 CALEDONIA ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "560014329",
"telephone_number": "507-345-7836",
"fax_number": "507-345-7835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "LUKE",
"middle_name": "ALAN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-06",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.