Active NPI
O'Dell Chiropractic Center LLC
- Health Service Clinic/Center
- Richmond, KY
National Provider Identifier
1003202185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 5284
- Legal business name
- O'DELL CHIROPRACTIC CENTER LLC
- Practice address
- 2007 Merchant Dr
Richmond, KY 40475-8167 - Phone
- (859) 575-1222
- Fax
- (859) 575-1225
- NPI assigned
- Apr 15, 2015
- 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. David M O'Dell, D.C.
- Title
- Owner
- Phone
- (859) 575-1222
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Health Service Clinic/Center | 261QH0100X | 5284 | KY | Primary |
Addresses
Primary practice location
2007 Merchant Dr
Richmond, KY 40475-8167
Mailing address
2007 Merchant Dr
Richmond, KY 40475-8167
Phone (859) 575-1222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100169940 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2007 Merchant Dr
Richmond, KY 40475
Phone (859) 575-1222
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Richmond, KY
- NPI 1164687398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707782400000",
"number": "1003202185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 MERCHANT DR",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404758167",
"telephone_number": "859-575-1222",
"fax_number": "859-575-1225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 MERCHANT DR",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404758167",
"telephone_number": "859-575-1222",
"fax_number": "859-575-1225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "O'DELL CHIROPRACTIC CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-15",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A",
"authorized_official_last_name": "O'DELL",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "859-575-1222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "KY",
"license": "5284",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100169940",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.