Individual provider Active NPI

Jordan C Lukens, DC

  • Chiropractor
  • Matthews, NC
National Provider Identifier
1992479562
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5352 Issued in NC
Practice address
1207 Crews Rd Ste B
Matthews, NC 28105-7582
Phone
(704) 246-6111
NPI assigned
Aug 5, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5352 NC Primary

Addresses

Primary practice location

1207 Crews Rd Ste B
Matthews, NC 28105-7582

Mailing address

1207 Crews Rd Ste B
Matthews, NC 28105-7582
Phone (704) 246-6111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210924001791 NC Practitioner - Chiropractic 5698172229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brothers Clinic of Chiropractic PLLCGroup PAC ID 4789081316, 2 clinicians

Practice addresses (Care Compare)

1207 Crews Rd
Suite B
Matthews, NC 28105-7582
Phone (704) 246-6111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brothers Clinic of Chiropractic PLLC Chiropractor CurrentSince Aug 12, 2021 Accepting new patients

Locations

1207 Crews Rd
Ste B
Matthews, NC 28105
Phone (704) 246-6111

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": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1992479562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 CREWS RD STE B",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281057582",
            "telephone_number": "704-246-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 CREWS RD STE B",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281057582",
            "telephone_number": "704-246-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKENS",
        "first_name": "JORDAN",
        "middle_name": "C",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.