Jason W Luking D.C. PLC
Organization Active NPI Chiropractor · Frankfort, KY
NPI 1750434601 · NPPES record last updated Sep 15, 2008
Key facts
- NPI
- 1750434601
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4706 (KY)
- Legal business name
- JASON W LUKING D.C. PLC
- Practice address
- 103 Twin Oaks Cir # 2
Frankfort, KY 40601-8447 - Phone
- (502) 875-3200
- Fax
- (502) 875-2425
- NPI assigned
- Jan 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Jason W Luking, D.C.
- Title
- Owner
- Phone
- (502) 875-3200
Member organizations 3
Practitioners 4
-
Nathaniel Keith Ritchie, D.C.
-
Kevin D Anderson, DC
-
Bryan Frederick Walther, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051215000109 | KY | Part B Supplier - Clinic/Group Practice | 4587685722 |
Receives reassigned benefits from 2 practitioners Practice locations: Frankfort, KY |
National Provider Directory
Locations
103 Twin Oaks Cir
#2
Frankfort, KY 40601
Phone (502) 875-3200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 4706 | KY | Yes |
Addresses
Primary practice location
103 Twin Oaks Cir # 2
Frankfort, KY 40601-8447
Mailing address
103 Twin Oaks Cir # 2
Frankfort, KY 40601-8447
Phone (502) 875-3200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100017220 | Medicaid | KY |
Other names
- Frankfort Chiropractic Center
NPI Registry JSON
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221436800000",
"number": "1750434601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 TWIN OAKS CIR # 2",
"city": "FRANKFORT",
"state": "KY",
"postal_code": "406018447",
"telephone_number": "502-875-3200",
"fax_number": "502-875-2425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 TWIN OAKS CIR # 2",
"city": "FRANKFORT",
"state": "KY",
"postal_code": "406018447",
"telephone_number": "502-875-3200",
"fax_number": "502-875-2425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JASON W LUKING D.C. PLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-22",
"last_updated": "2008-09-15",
"status": "A",
"authorized_official_last_name": "LUKING",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "502-875-3200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "KY",
"license": "4706",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100017220",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Frankfort Chiropractic Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Frankfort, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.