Organization Active NPI

Lumina Chiropractic

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1649153263
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LUMINA CHIROPRACTIC
Practice address
7902 NE St Johns Rd Ste 109
Vancouver, WA 98665-1094
Phone
(360) 836-0097
Fax
(360) 991-0331
NPI assigned
Jul 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Authorized official

Name
Dr. Lacy Dillon, DCNPI 1740836394
Title
Owner, Chiropractor
Phone
(503) 333-9294

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 Primary

Addresses

Primary practice location

7902 NE St Johns Rd Ste 109
Vancouver, WA 98665-1094

Mailing address

4001 NE 130TH St
Vancouver, WA 98686-2670
Phone (503) 333-9294

National Provider Directory

National Provider Directory

Locations

7902 NE St Johns Rd
Ste 109
Vancouver, WA 98665
Phone (360) 836-0097

Practitioners & affiliated clinicians

Practitioners 1

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": "1753833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1649153263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 NE 130TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862670",
            "telephone_number": "503-333-9294",
            "fax_number": "360-991-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7902 NE ST JOHNS RD STE 109",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986651094",
            "telephone_number": "360-836-0097",
            "fax_number": "360-991-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINA CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "LACY",
        "authorized_official_title_or_position": "OWNER, CHIROPRACTOR",
        "authorized_official_telephone_number": "503-333-9294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.