Individual provider Active NPI

Luke Michael Colby, DC

  • Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1649859125
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1407 Issued in SD
Practice address
6809 S Minnesota Ave Ste 102
Sioux Falls, SD 57108-2570
Phone
(605) 274-7484
NPI assigned
Apr 3, 2021
Last updated
May 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1407 SD Primary

Addresses

Primary practice location

6809 S Minnesota Ave Ste 102
Sioux Falls, SD 57108-2570

Mailing address

6809 S Minnesota Ave
Ste 102
Sioux Falls, SD 57108-2570
Phone (605) 951-6869

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210602002844 SD Practitioner - Chiropractic 9234538752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Live Well Chiropractic PCGroup PAC ID 4082838297, 2 clinicians

Practice addresses (Care Compare)

6809 S Minnesota Ave
Suite 102
Sioux Falls, SD 57108-2570
Phone (605) 274-7484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Live Well Chiropractic, PC Chiropractor CurrentSince Jun 1, 2021 Accepting new patients

Locations

6809 S Minnesota Ave
Ste 102
Sioux Falls, SD 57108
Phone (605) 274-7484

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1617408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1649859125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6809 S MINNESOTA AVE",
            "address_2": "STE 102",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082570",
            "telephone_number": "605-951-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6809 S MINNESOTA AVE STE 102",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082570",
            "telephone_number": "605-274-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBY",
        "first_name": "LUKE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-03",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.