Individual provider Active NPI

Arian A Lecuona, D.C.

  • Rehabilitation Chiropractor
  • Oak Park, IL
National Provider Identifier
1659796282
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
038012565 Issued in IL
Practice address
1144 Lake St
203
Oak Park, IL 60301-6705
Phone
(708) 406-9459
Fax
(708) 383-4376
NPI assigned
Feb 18, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 038012565 IL Primary

Addresses

Primary practice location

1144 Lake St
203
Oak Park, IL 60301-6705

Mailing address

1144 Lake St
203
Oak Park, IL 60301-6705
Phone (708) 406-9459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038012565ILMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder County Primary Care and Rehab Past Accepting new patients
Oak Park Chiropractic, LLC Chiropractor PastSince Dec 1, 2007 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: arian.lecuona.2@29676.direct.athenahealth.com

Organizations & group practices 2

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": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1659796282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 LAKE ST",
            "address_2": "203",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603016705",
            "telephone_number": "708-406-9459",
            "fax_number": "708-383-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 LAKE ST",
            "address_2": "203",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603016705",
            "telephone_number": "708-406-9459",
            "fax_number": "708-383-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECUONA",
        "first_name": "ARIAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038012565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.