Organization Active NPI

Luke Chiropractic & Wellness, S.C.

  • Chiropractor
  • Superior, WI
National Provider Identifier
1679801518
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LUKE CHIROPRACTIC & WELLNESS, S.C.
Practice address
916 Hammond Ave Ste 100
Superior, WI 54880-1770
Phone
(715) 392-2476
NPI assigned
Dec 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Authorized official

Name
Dr. Greg E. Luke, D.C.
Title
Chiropractor
Phone
(715) 392-2476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

916 Hammond Ave Ste 100
Superior, WI 54880-1770

Mailing address

916 Hammond Ave Ste 100
Superior, WI 54880-1770
Phone (715) 392-2476

Other identifiers 2

IdentifierTypeStateIssuer
000270440OtherMEDICARE ID
38894700MedicaidWI

National Provider Directory

National Provider Directory

Locations

916 Hammond Ave
Ste 100
Superior, WI 54880
Phone (715) 392-2476

916 Hammond Ave
#100
Superior, WI 54880
Phone (715) 392-2476

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": "1259884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1679801518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 HAMMOND AVE STE 100",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548801770",
            "telephone_number": "715-392-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 HAMMOND AVE STE 100",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548801770",
            "telephone_number": "715-392-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUKE CHIROPRACTIC & WELLNESS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-04",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "LUKE",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "715-392-2476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "000270440",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38894700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.