Individual provider Active NPI

Lucas Halliwell, DC

  • Chiropractor
  • Buffalo, NY
National Provider Identifier
1699330183
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X013210 Issued in NY
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

Updated by the provider on May 9, 2019

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

Specialties & licenses 1

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

Enrollment IDStateProvider typePAC IDDetails
I20200926000021 NY Practitioner - Chiropractic 1355760273 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
X013210NYMDChiropractor
013210NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lucas James Halliwell and Stephanie Halliwell Chiropractic, P.C. Chiropractor CurrentSince Nov 17, 2021 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.

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.

Verify at the official NPI Registry.