NPIMap

Organization Active NPI

Lusk Chiropractic Health Center

  • Chiropractor
  • Dyersburg, TN
National Provider Identifier
1649549296
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0000001300 Issued in TN
Legal business name
LUSK CHIROPRACTIC HEALTH CENTER
Practice address
1150 US Highway 51 Byp W
Ste a
Dyersburg, TN 38024-1888
Phone
(731) 286-8166
Fax
(731) 286-1879
NPI assigned
Dec 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Authorized official

Name
Kelly P Lusk, D.C.NPI 1851480099
Title
Owner
Phone
(731) 286-8166

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 0000001300 TN Primary

Addresses

Primary practice location

1150 US Highway 51 Byp W
Ste a
Dyersburg, TN 38024-1888

Mailing address

1150 US Highway 51 Byp W
Ste a
Dyersburg, TN 38024-1888
Phone (731) 286-8166

National Provider Directory

National Provider Directory

Locations

1150 US Highway 51 Byp W
Ste A
Dyersburg, TN 38024
Phone (731) 286-8166

Practitioners & affiliated clinicians

Practitioners 2

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": "1324944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1649549296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 US HIGHWAY 51 BYP W",
            "address_2": "STE A",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380241888",
            "telephone_number": "731-286-8166",
            "fax_number": "731-286-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 US HIGHWAY 51 BYP W",
            "address_2": "STE A",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380241888",
            "telephone_number": "731-286-8166",
            "fax_number": "731-286-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUSK CHIROPRACTIC HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-27",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "LUSK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-286-8166",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "0000001300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.