Richard A Lucero, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

B00540 Issued in NV

Practice address

127 S Water St
Henderson, NV 89015-7221

Phone

(702) 564-2331

Fax

(702) 565-6677

NPI assigned

Jan 31, 2008

Last updated

Jan 31, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthsource of Henderson, Inc.

  • Chiropractor
  • Henderson, NV
  • NPI 1437388626
  NPD (past)

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1821276999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S WATER ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157221",
            "telephone_number": "702-564-2331",
            "fax_number": "702-565-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S WATER ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157221",
            "telephone_number": "702-564-2331",
            "fax_number": "702-565-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCERO",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B00540",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NV",
            "license": "B00540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Manuel Lu, MD
• Qing Lu
• Karesha Lucas
• Shawnjerria Nishallen Lucas
• Margaret Mary Elizabeth Lucero
• Denise Luciano
• Jaime Lucius
• Alissa Lucke
• Samdra Luckett
• Saloni Bhardwaj Luckoor

• Rehabilitation Chiropractor in Henderson, NV
• Providers in Henderson, NV by specialty
• Rehabilitation Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.