Luc G Gradisar, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

15447 Issued in TX

Practice address

940 Ridgeview Dr Ste 100
Allen, TX 75013-5443

Phone

(972) 521-6213

NPI assigned

Jan 11, 2023

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• M2 Chiropractic, LLC

  • Chiropractor
  • Allen, TX
  • NPI 1083152789
  NPD

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1962116202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 OSCEOLA TRL",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750063135",
            "telephone_number": "719-251-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 RIDGEVIEW DR STE 100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135443",
            "telephone_number": "972-521-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADISAR",
        "first_name": "LUC",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Goudeau Jr., MA, LMFT-S, LPC-S
• Tamela L Gough, D.D.S, M.S.
• Kayla Goumas
• Mackie Dawayne Gourley Jr., CHIROPRACTOR
• Vandana Panda Goyle, M.D.
• Shanae Melee Graf, LPC-ASSOCIATE
• Chester F Graham, M.D.
• Pamela Graham, MLA, SLP
• Richard L Grandjean, MD
• Daniel O Grassi, PT

• Chiropractor in Allen, TX
• Providers in Allen, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.