Organization Active NPI

Lukes Chiropractic and Wellness, P.L.L.C.

  • Chiropractor
  • Bemidji, MN
National Provider Identifier
1508318221
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5795 Issued in MN
Legal business name
LUKES CHIROPRACTIC AND WELLNESS, P.L.L.C.
Practice address
3620 Bemidji Ave N
Bemidji, MN 56601-4333
Phone
(218) 751-4936
NPI assigned
Oct 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Authorized official

Name
Dr. Adam Jacob Lukes, D.C.NPI 1730524976
Title
President/Chiropractor
Phone
(218) 751-4936

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5795 MN Primary

Addresses

Primary practice location

3620 Bemidji Ave N
Bemidji, MN 56601-4333

Mailing address

3620 Bemidji Ave N
Bemidji, MN 56601-4333

Other identifiers 2

IdentifierTypeStateIssuer
1730524976MedicaidMN
1770928921MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161220001589 MN Part B Supplier - Clinic/Group Practice 9436430006 Receives reassigned benefits from 2 practitioners
Practice locations: Bemidji, MN

National Provider Directory

National Provider Directory

Locations

3620 Bemidji Ave N
Bemidji, MN 56601
Phone (218) 751-4936

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1508318221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 BEMIDJI AVE N",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 BEMIDJI AVE N",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014333",
            "telephone_number": "218-751-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUKES CHIROPRACTIC AND WELLNESS, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "LUKES",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "218-751-4936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730524976",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770928921",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.