Organization Active NPI

Lufkin Clinic of Chiropractic PLLC

  • Clinic/Center
  • Lufkin, TX
National Provider Identifier
1821752858
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LUFKIN CLINIC OF CHIROPRACTIC PLLC
Practice address
300 N John Redditt Dr Ste 3
Lufkin, TX 75904-2634
Phone
(936) 899-6160
NPI assigned
Oct 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Authorized official

Name
Nicole Mercado, DCNPI 1386308567
Title
Doctor
Phone
(936) 899-6160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

300 N John Redditt Dr Ste 3
Lufkin, TX 75904-2634

Mailing address

PO Box 1083
Walterboro, SC 29488-0011

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Janeapp

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211108000074 TX Part B Supplier - Clinic/Group Practice 3476942756 Receives reassigned benefits from 1 practitioner
Practice locations: Lufkin, TX

National Provider Directory

National Provider Directory

Locations

300 N John Redditt Dr
Ste 3
Lufkin, TX 75904
Phone (936) 899-6160

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1821752858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1083",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294880011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N JOHN REDDITT DR STE 3",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759042634",
            "telephone_number": "936-899-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUFKIN CLINIC OF CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "936-899-6160",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Janeapp",
            "affiliation": "N",
            "address_1": "300 N John Redditt Dr Ste 3",
            "city": "Lufkin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "759042634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.