Active NPI
Lucas Halliwell, DC
- Chiropractor
- Buffalo, NY
National Provider Identifier
1699330183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X013210
- Practice address
- 2633 Main St
Buffalo, NY 14214-2015 - Phone
- (315) 877-6582
- NPI assigned
- May 9, 2019
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X013210 | NY | Primary |
Addresses
Primary practice location
2633 Main St
Buffalo, NY 14214-2015
Mailing address
61 Montfort Dr
Buffalo, NY 14225-1337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6332 S Transit Rd
Lockport, NY 14094-6336
Phone (716) 434-3884
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X013210 | NY | MD | Chiropractor |
| 013210 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lucas James Halliwell and Stephanie Halliwell Chiropractic, P.C. | Chiropractor | Current | Accepting new patients |
Locations
6332 S Transit Rd
Lockport, NY 14094
Phone (716) 434-3884
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 and National Provider Directory roles.
-
- Chiropractor
- Lockport, NY
- NPI 1972260453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1699330183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 MONTFORT DR",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142251337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2633 MAIN ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142142015",
"telephone_number": "315-877-6582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLIWELL",
"first_name": "LUCAS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-09",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NY",
"license": "X013210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.