Timothy Scott Lackey, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4521 Issued in KS

Practice address

30 W Sherman St
Hutchinson, KS 67501-5428

Phone

(620) 663-5632

Fax

(620) 663-4986

NPI assigned

Jul 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lackey and Nielson Chiropractic PAGroup PAC ID 1456524511, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lackey & Nielson Chiropractic PA

  • Chiropractor
  • Hutchinson, KS
  • NPI 1518257252
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1760482343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W SHERMAN ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675015428",
            "telephone_number": "620-663-5632",
            "fax_number": "620-663-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W SHERMAN ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675015428",
            "telephone_number": "620-663-5632",
            "fax_number": "620-663-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKEY",
        "first_name": "TIMOTHY",
        "middle_name": "SCOTT",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "4521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "060008",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kroger Texas LP (Kroger Pharmacy Southwest Division)
• Raymond A Kurowski, DDS
• Morgan La, CNM
• Lackey & Nielson Chiropractic PA
• Andrea Lynn-Nielson Lackey, DC
• Ashley Victoria Ladd, OD
• James Lairmore, MD
• Travis J Lakin, LMSW
• Denette A Lamb, APRN
• Jonathan Lane, MD

• Chiropractor in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.