Lucas Q Homer, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00002108 Issued in WA

Practice address

12214 SE Mill Plain Blvd
Ste 101
Vancouver, WA 98684-6019

Phone

(360) 254-4040

Fax

(360) 253-7808

NPI assigned

Aug 28, 2007

Sex

Male

Sole proprietor

No

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

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Cascade Park Sports Medicine & Rehab Clinic PLLC

  • Chiropractor
  • Vancouver, WA
  • NPI 1679641393
  NPD (past) Authorized official
• Cascade Park Chiropractic Clinic PLLC

  • Chiropractor
  • Vancouver, WA
  • NPI 1316287972
  NPD (past)

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1902090509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12214 SE MILL PLAIN BLVD",
            "address_2": "STE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846019",
            "telephone_number": "360-254-4040",
            "fax_number": "360-253-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12214 SE MILL PLAIN BLVD",
            "address_2": "STE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846019",
            "telephone_number": "360-254-4040",
            "fax_number": "360-253-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMER",
        "first_name": "LUCAS",
        "middle_name": "Q",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan C. Holtorf, R.D.
• Patricia Marie Holven, LPN
• Jessica Lynn Holzman, M.D.
• Brent Homan, OTR/L
• Chase A Homer, LMT
• Milton Harrison Homer, D.C.
• Lindsey Hompe, PMHNP-BC, RNC-OB
• Erin Jessica Honan
• Kyle Honan, SUDPT
• Andrew Lynn Hong, MD

• Chiropractor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.