Individual provider Active NPI

Lucas Martin Pantalone, D.C.

  • Chiropractor
  • Hummelstown, PA
National Provider Identifier
1831571439
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011037 Issued in PA
Practice address
267 W Main St
Hummelstown, PA 17036-1423
Phone
(717) 566-2567
Fax
(717) 566-2597
NPI assigned
Jun 19, 2015
Last updated
Jun 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011037 PA Primary

Addresses

Primary practice location

267 W Main St
Hummelstown, PA 17036-1423

Mailing address

267 W Main St
Hummelstown, PA 17036-1423

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200714000255 PA Practitioner - Chiropractic 4789007410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Pantalone Chiropractic LLCGroup PAC ID 6002239738, 2 clinicians

Practice addresses (Care Compare)

267 W Main St
Hummelstown, PA 17036-1423
Phone (717) 566-2567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC011037PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pantalone Chiropractic LLC Chiropractor CurrentSince Jun 27, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434672000000",
    "number": "1831571439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 W MAIN ST",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170361423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 W MAIN ST",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170361423",
            "telephone_number": "717-566-2567",
            "fax_number": "717-566-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTALONE",
        "first_name": "LUCAS",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hummelstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.