Organization Active NPI

Lucas James Halliwell and Stephanie Halliwell Chiropractic, P.C.

  • Chiropractor
  • Lockport, NY
National Provider Identifier
1972260453
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LUCAS JAMES HALLIWELL AND STEPHANIE HALLIWELL CHIROPRACTIC, P.C.
Practice address
6332 S Transit Rd
Lockport, NY 14094-6336
Phone
(716) 434-3889
NPI assigned
Nov 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Authorized official

Name
Dr. Lucas Halliwell, DCNPI 1699330183
Title
President
Phone
(315) 877-6582

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

6332 S Transit Rd
Lockport, NY 14094-6336

Mailing address

61 Montfort Dr
Buffalo, NY 14225-1337
Phone (315) 877-6582

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211211000097 NY Part B Supplier - Clinic/Group Practice 1052701794 Receives reassigned benefits from 3 practitioners
Practice locations: Lockport, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1972260453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 MONTFORT DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142251337",
            "telephone_number": "315-877-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6332 S TRANSIT RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140946336",
            "telephone_number": "716-434-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCAS JAMES HALLIWELL AND STEPHANIE HALLIWELL CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "HALLIWELL",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-877-6582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.