Individual provider Active NPI

Kevin J Luck, D.C.

  • Chiropractor
  • Lakewood, CO
National Provider Identifier
1922175116
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2285 Issued in CO
Practice address
3600 S Wadsworth Blvd
Lakewood, CO 80235-2103
Phone
(303) 985-0646
Fax
(303) 985-3834
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2285 CO Primary

Addresses

Primary practice location

3600 S Wadsworth Blvd
Lakewood, CO 80235-2103

Mailing address

3600 S Wadsworth Blvd
Lakewood, CO 80235-2103
Phone (303) 985-0646

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050927000494 CO Practitioner - Chiropractic 6507890795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3600 S Wadsworth Blvd
Lakewood, CO 80235-2103

3600 S Wadsworth Blvd
Lakewood, CO 80235-2104
Phone (303) 985-0646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2285COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care Health Services LLC Chiropractor CurrentSince Aug 1, 1989 Accepting new patients

Locations

3600 S Wadsworth Blvd
Unit B
Lakewood, CO 80235

3600 S Wadsworth Blvd
Lakewood, CO 80235
Phone (303) 984-5531

3600 S Wadsworth Blvd
Unit A
Lakewood, CO 80235

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1922175116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 S WADSWORTH BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352103",
            "telephone_number": "303-985-0646",
            "fax_number": "303-985-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 S WADSWORTH BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352103",
            "telephone_number": "303-985-0646",
            "fax_number": "303-985-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCK",
        "first_name": "KEVIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.