Active NPI
Kenneth E Luke, ATC, L.AC.
- Acupuncturist
- Sebstopol, CA
National Provider Identifier
1669436754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 7331
- Practice address
- 820 Gravenstein Highway South
Suite 100
Sebstopol, CA 95472 - Phone
- (707) 494-9286
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 7331 | CA | Primary |
Addresses
Primary practice location
820 Gravenstein Highway South
Suite 100
Sebstopol, CA 95472
Mailing address
708 Gravenstein Hwy N
Suite 237
Sebastopol, CA 95472-2808
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC 7331 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247529600000",
"number": "1669436754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 GRAVENSTEIN HWY N",
"address_2": "SUITE 237",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954722808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 GRAVENSTEIN HIGHWAY SOUTH",
"address_2": "SUITE 100",
"city": "SEBSTOPOL",
"state": "CA",
"postal_code": "95472",
"telephone_number": "707-494-9286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKE",
"first_name": "KENNETH",
"middle_name": "E",
"credential": "ATC, L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2009-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 7331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.