William Blake Main, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5158 Issued in KY

Practice address

820 Chuck Gray CT.
Owensboro, KY 42303-7362

Phone

(270) 685-5100

Fax

(270) 683-3100

NPI assigned

Jul 19, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2007

Medicare assignment

May accept Medicare assignment

Group practices

Stallings Chiropractic Center LLP 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles (1 of 7)

Locations

Networks

• OH PPO
• TN PPO
• KY PPO C-SNP
• TN PPO C-SNP
• devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
• KY PPO

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.

• Stallings Chiropractic Center LLP

  • Chiropractor
  • Owensboro, KY
  • NPI 1962699249
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1013205566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 CHUCK GRAY CT.",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423037362",
            "telephone_number": "270-685-5100",
            "fax_number": "270-683-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 CHUCK GRAY CT.",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423037362",
            "telephone_number": "270-685-5100",
            "fax_number": "270-683-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIN",
        "first_name": "WILLIAM",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-19",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100197940",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K037050",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylee S Madewell
• Lisa Dawn Maglinger
• Jewraj Goklani Maheshwari, MD
• Lauren Mahoney
• Kayley Main, PT,DPT
• Majestic Care of Wellington Parc LLC
• Johnny Makhoul, MD
• Elizabeth Payne Mallette, LCSW
• Vickie Malott, RN
• Mandy Crawford Family Practice PLC

• All providers in Owensboro, KY
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.