Lucas Odahlen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

30328 Issued in CA

Practice address

31942 Mission TRL
Lake Elsinore, CA 92530-4539

Phone

(951) 674-7002

Fax

(951) 674-7004

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Doctor'S Health Network, Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Las Vegas, NV
  • NPI 1073931952
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881734952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24875 PRIELIPP RD UNIT 214",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957792",
            "telephone_number": "951-600-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31942 MISSION TRL",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304539",
            "telephone_number": "951-674-7002",
            "fax_number": "951-674-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODAHLEN",
        "first_name": "LUCAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Noyes
• Nutritional Council
• Oc Exclusive Medical Supply LLC
• Nathan Ocasio, COTA/L
• Edith Ochoa Bautista
• Michelle Oei, PHARM.D.
• Jeanna Marie Ogle
• Oh Jae Kwon, DDS, Inc
• Alyssa Mahealani Ohara
• Oliveira Medical Inc

• Chiropractor in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.