Active NPI
Lucas Chiro Clinic Inc
Doing business as Lucas Enterprises
- Neurology Chiropractor
- Wasilla, AK
National Provider Identifier
1962553131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 89
- Legal business name
- LUCAS CHIRO CLINIC INC
- Doing business as
- Lucas Enterprises
- Practice address
- 1261 S Seward Meridian Rd
Suite F
Wasilla, AK 99654-8334 - Phone
- (907) 357-6101
- Fax
- (907) 357-6102
- NPI assigned
- Jan 15, 2007
- Last updated
- Apr 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bobby A Lucas, D.C
- Title
- President
- Phone
- (907) 357-6100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 89 | AK | Primary |
Addresses
Primary practice location
1261 S Seward Meridian Rd
Suite F
Wasilla, AK 99654-8334
Mailing address
1261 S Seward Meridian Rd
Suite F
Wasilla, AK 99654-8334
Phone (907) 357-6101
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH0054 | Medicaid | AK | |
| CH0217 | Medicaid | AK | |
| CHG031 | Medicaid | AK |
Other names 1
- Lucas Enterprises
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Wasilla, AK
- NPI 1790811081
-
- Chiropractor
- Wasilla, AK
- NPI 1578572525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744243200000",
"number": "1962553131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1261 S SEWARD MERIDIAN RD",
"address_2": "SUITE F",
"city": "WASILLA",
"state": "AK",
"postal_code": "996548334",
"telephone_number": "907-357-6101",
"fax_number": "907-357-6102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1261 S SEWARD MERIDIAN RD",
"address_2": "SUITE F",
"city": "WASILLA",
"state": "AK",
"postal_code": "996548334",
"telephone_number": "907-357-6101",
"fax_number": "907-357-6102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUCAS CHIRO CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-15",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A",
"authorized_official_last_name": "LUCAS",
"authorized_official_first_name": "BOBBY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "907-357-6100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Neurology",
"state": "AK",
"license": "89",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CH0054",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CH0217",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CHG031",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lucas Enterprises",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.