Individual provider Active NPI

Cheryl A Luther, DC, MS, CSCS, PES

  • Chiropractor
  • Plymouth, MI
National Provider Identifier
1750524906
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009727 Issued in MI
Practice address
1365 S Main St
Suite B
Plymouth, MI 48170-2217
Phone
(734) 927-4411
Fax
(734) 927-4410
NPI assigned
Apr 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008465 GA
Chiropractor 111N00000X 3441 SC
Chiropractor 111N00000X 2301009727 MI Primary
Chiropractor 111N00000X 6628 CO

Addresses

Primary practice location

1365 S Main St
Suite B
Plymouth, MI 48170-2217

Mailing address

1365 S Main St
Suite B
Plymouth, MI 48170-2217
Phone (734) 927-4411

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6628COMDClinical Psychologist
CHIR008465GAMDChiropractor
3441SCMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1750524906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 S MAIN ST",
            "address_2": "SUITE B",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702217",
            "telephone_number": "734-927-4411",
            "fax_number": "734-927-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 S MAIN ST",
            "address_2": "SUITE B",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702217",
            "telephone_number": "734-927-4411",
            "fax_number": "734-927-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTHER",
        "first_name": "CHERYL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC, MS, CSCS, PES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-16",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008465",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3441",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009727",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6628",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.