Individual provider Active NPI

Lucas Oscar Adolph, DC

  • Chiropractor
  • Spring, TX
National Provider Identifier
1619637816
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14671 Issued in TX
Practice address
26406 I45 N
Suite C
Spring, TX 77386
Phone
(281) 916-1918
NPI assigned
Dec 29, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14671 TX Primary

Addresses

Primary practice location

26406 I45 N
Suite C
Spring, TX 77386

Mailing address

26406 I45 N
Suite C
Spring, TX 77386
Phone (281) 916-1918

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240731004338 TX Practitioner - Chiropractic 5597202101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Live Free Chiropractic and Rehabilitation LLCGroup PAC ID 6406231836, 2 clinicians

Practice addresses (Care Compare)

750 William D Fitch Pkwy
Suite 240
College Station, TX 77845-7447
Phone (979) 696-1996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Live Free Chiropractic and Rehabilitation LLC Chiropractor CurrentSince Jun 1, 2024 Accepting new patients
College Station Chiropractic, P.C. Chiropractor CurrentSince Jun 1, 2024 Accepting new patients
Peak Woodlands LLC CurrentSince Sep 5, 2023 Accepting new patients

Locations

750 William D Fitch Pkwy
Ste 240
College Station, TX 77845
Phone (979) 669-1996

Organizations & group practices 3

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": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1619637816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26406 I45 N",
            "address_2": "SUITE C",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77386",
            "telephone_number": "281-916-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26406 I45 N",
            "address_2": "SUITE C",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77386",
            "telephone_number": "281-916-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADOLPH",
        "first_name": "LUCAS",
        "middle_name": "OSCAR",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-29",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.