Active NPI
Bobby Joseph Luster, DC
- Chiropractor
- Wetumpka, AL
National Provider Identifier
1538249149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2153
- Practice address
- 2412 US Highway 231
Wetumpka, AL 36093-1209 - Phone
- (334) 514-7327
- Fax
- (334) 514-7328
- NPI assigned
- Oct 17, 2006
- Last updated
- Aug 31, 2012
- 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 | 2153 | AL | Primary |
Addresses
Primary practice location
2412 US Highway 231
Wetumpka, AL 36093-1209
Mailing address
2412 US Highway 231
Wetumpka, AL 36093-1209
Phone (334) 514-7327
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051549418 | Other | AL | BCBS |
| 051532805 | Other | AL | BCBSAL |
Other names 1
- Dr. Joey Luster
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2153 | AL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Carl Edward Nelson Estate | Chiropractor | Past | Accepting new patients |
Locations
106 Court St
Wetumpka, AL 36092
Phone (334) 403-5789
2412 US Highway 231
Wetumpka, AL 36093
Phone (334) 514-7327
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.
-
- Chiropractor
- Andalusia, AL
- NPI 1356547582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346371200000",
"number": "1538249149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2412 US HIGHWAY 231",
"city": "WETUMPKA",
"state": "AL",
"postal_code": "360931209",
"telephone_number": "334-514-7327",
"fax_number": "334-514-7328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2412 US HIGHWAY 231",
"city": "WETUMPKA",
"state": "AL",
"postal_code": "360931209",
"telephone_number": "334-514-7327",
"fax_number": "334-514-7328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUSTER",
"first_name": "BOBBY",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2012-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "2153",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051549418",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSAL",
"identifier": "051532805",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOEY",
"last_name": "LUSTER",
"prefix": "DR.",
"credential": "DC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Wetumpka, AL
- Leslie Elizabeth Ledbetter, LICSW
- Jannett Lewis-Clark, OTD, OTR/L, CLT
- Shalyn Linnemeier, LCSW
- Euless Harrison Long Jr., D.M.D.
- Cassie Williams Luke, MD
- Martin Anthony Lyons Jr., MD
- Lyndsay Thompson Maddaloni, PHARMD
- Magnolia Commons Pediatrics LLC (Carlile Pediatrics)
- Patricia Maurelli
- Jewel Williams May, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.