Active NPI
Lucas Matthew Stanker, D.C.
- Chiropractor
- Shawnee, KS
National Provider Identifier
1508035791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- T-01757
- Practice address
- 11015 W 75TH St
Shawnee, KS 66214-1107 - Phone
- (913) 631-8888
- NPI assigned
- Feb 21, 2008
- Last updated
- Feb 21, 2008
- 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 | T-01757 | KS | Primary |
Addresses
Primary practice location
11015 W 75TH St
Shawnee, KS 66214-1107
Mailing address
415 E 72ND Ter
Kansas City, MO 64131-1619
Phone (913) 306-1384
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
| License | State | Type | Specialty |
|---|---|---|---|
| T-01757 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark Balderston DC PA | Chiropractor | Past | Accepting new patients |
| Anthony Phillips, DC, PA | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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dba Inside Sports Clinic
- Sports Physician Chiropractor
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- NPI 1861657512
-
- Chiropractor
- Shawnee, KS
- NPI 1205877040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203552000000",
"number": "1508035791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 E 72ND TER",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641311619",
"telephone_number": "913-306-1384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11015 W 75TH ST",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662141107",
"telephone_number": "913-631-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANKER",
"first_name": "LUCAS",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-21",
"last_updated": "2008-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "T-01757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shawnee, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.