Laura Kukucska Le, DC, CACCP, CCSP

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9520 Issued in TX

Practice address

4401 Long Prairie Rd
Ste 200
Flower Mound, TX 75028-2007

Phone

(972) 539-7500

Fax

(972) 539-7550

NPI assigned

Jun 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• LKL Enterprises, LLC

  • Chiropractor
  • Flower Mound, TX
  • NPI 1346477213
  Medicare reassignment Authorized official
• Blcwc

  • Chiropractor
  • Plano, TX
  • NPI 1629205596
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1578590329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4335 WINDSOR CENTRE TRL",
            "address_2": "SUITE 140",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75028",
            "telephone_number": "972-539-7500",
            "fax_number": "972-539-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 LONG PRAIRIE RD",
            "address_2": "STE 200",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282007",
            "telephone_number": "972-539-7500",
            "fax_number": "972-539-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKUCSKA LE",
        "first_name": "LAURA",
        "credential": "DC, CACCP, CCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1578590329",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CB857",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kroger Texas L P
• KRS Dental PLLC
• Hiromi Krueger, FNP
• Whitley Morgan Kugel
• Myles Scott Kuiper, DPT
• Varsha Vasant Kulkarni, DDS
• Kunik Health, PA
• Jasmin Kunnummel
• Olivia Shinae Kuo, OD
• Jayalakshmi Kuseladass, M.D.

• Chiropractor in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.

Verify at the official NPI Registry.