Lucas Keane, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4867 Issued in NC

Practice address

19315 W Catawba Ave Ste 100
Cornelius, NC 28031-5637

Phone

(704) 896-1811

NPI assigned

Apr 13, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Luke Keane Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Lake Norman Pain Relief and Wellness

  • Physical Therapy Clinic/Center
  • Cornelius, NC
  • NPI 1710385364
  NPD (past)
• Performance Rehab Associates, P.C.

  • Chiropractor
  • Charlotte, NC
  • NPI 1821342346
  NPD (past)

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1922595172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 ENZO CT APT 308",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297300090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19315 W CATAWBA AVE STE 100",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315637",
            "telephone_number": "704-896-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEANE",
        "first_name": "LUCAS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-13",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NC",
            "license": "4867",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUKE",
            "last_name": "KEANE",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Melisa Kalac, OD
• Alexandra Kamieniecki, MD
• Karen Kammann, OTR
• Kathleen McIntyre Coaching and Wellness
• Lauren Kavanaugh-Wallace, PSYD
• Kenneth M. Schneider, Jr., D.D.S, P.a.
• Kenneth R. McGrath, D.D.S., P.a.
• Ashlyn Kerls, DPT
• Elaine Kerns, LCSW
• Keystone Chiropractic

• Chiropractor in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; 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.