Individual provider Active NPI

Lawrence Keke Luo, D.C.

  • Chiropractor
  • Richmond Hill, NY
National Provider Identifier
1851817670
Registry record updated Dec 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
013002 Issued in NY
Practice address
105-09 Jamaica Avenue
Richmond Hill, NY 11418
Phone
(718) 441-9390
NPI assigned
Aug 15, 2017
Last updated
Dec 29, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 013002 NY Primary

Addresses

Primary practice location

105-09 Jamaica Avenue
Richmond Hill, NY 11418

Mailing address

300 Hendrickson Ave.
Lynbrook, NY 11563
Phone (314) 686-8168

Other names 1

  • Mr. Keke Luo Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180328000271 NY Practitioner - Chiropractic 9931461183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Associates of Richmond Hill PCGroup PAC ID 2668576026, 2 clinicians

Practice addresses (Care Compare)

10509 Jamaica Ave
Suite a
Richmond Hill, NY 11418-2014
Phone (718) 441-9390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013002NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Associates of Richmond Hill PC Chiropractor CurrentSince Feb 21, 2018 Accepting new patients

Locations

10509 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 441-3211

10509 Jamaica Ave
Ste A
Richmond Hill, NY 11418
Phone (718) 441-9390

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": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514505600000",
    "number": "1851817670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HENDRICKSON AVE.",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "11563",
            "telephone_number": "314-686-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105-09 JAMAICA AVENUE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "11418",
            "telephone_number": "718-441-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUO",
        "first_name": "LAWRENCE",
        "middle_name": "KEKE",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEKE",
            "last_name": "LUO",
            "prefix": "MR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; 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.