Individual provider Active NPI

Lucas Camp, D.C.

  • Chiropractor
  • Indiana, PA
National Provider Identifier
1710356910
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011055 Issued in PA
Practice address
100 Ford Dr
Apt. 1
Indiana, PA 15701-9403
Phone
(724) 357-9030
Fax
(724) 357-9031
NPI assigned
Sep 17, 2015
Last updated
Apr 28, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011055 PA Primary

Addresses

Primary practice location

100 Ford Dr
Apt. 1
Indiana, PA 15701-9403

Mailing address

100 Ford Dr
Apt. 1
Indiana, PA 15701-9403
Phone (724) 357-9030

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
DC011055PAMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1710356910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FORD DR",
            "address_2": "APT. 1",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157019403",
            "telephone_number": "724-357-9030",
            "fax_number": "724-357-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FORD DR",
            "address_2": "APT. 1",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157019403",
            "telephone_number": "724-357-9030",
            "fax_number": "724-357-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMP",
        "first_name": "LUCAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-17",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.