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Organization Active NPI

Lueck & Medina Associates, Inc.

Doing business as Lueck and Medina Associates Chiropractic and Physical Therapy

  • Chiropractor
  • Malden, MA
National Provider Identifier
1629187398
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2140 Issued in MA
Legal business name
LUECK & MEDINA ASSOCIATES, INC.
Doing business as
Lueck and Medina Associates Chiropractic and Physical Therapy
Practice address
668 Salem St
Malden, MA 02148-4363
Phone
(781) 397-1900
Fax
(781) 397-1913
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark David Lueck, D.C.
Title
President
Phone
(781) 397-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2140 MA Primary

Addresses

Primary practice location

668 Salem St
Malden, MA 02148-4363

Mailing address

16 Cleveland PL # 2
Boston, MA 02113-2533
Phone (617) 742-5214

Other names 1

  • Lueck and Medina Associates Chiropractic and Physical Therapy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629187398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CLEVELAND PL # 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021132533",
            "telephone_number": "617-742-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 SALEM ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021484363",
            "telephone_number": "781-397-1900",
            "fax_number": "781-397-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUECK & MEDINA ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUECK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-397-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lueck and Medina Associates Chiropractic and Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Malden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.