Active NPI
Marvin Chad Faulkner, D.C.
- Chiropractor
- Mt Sterling, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 249710
- Practice address
- 113 Maloney Way
Mount Sterling, KY 40353-9553 - Phone
- (859) 762-0009
- Fax
- (859) 305-1639
- NPI assigned
- Nov 2, 2005
- Last updated
- Jan 24, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 249710 | KY | Primary |
| Chiropractor | 111N00000X | 8287 | AZ |
Addresses
Primary practice location
113 Maloney Way
Mount Sterling, KY 40353-9553
Mailing address
113 Maloney Way
Mount Sterling, KY 40353-9553
Phone (859) 762-0009
Other practice location 1
815 Quisenberry Ln
Winchester, KY 40391
Phone (859) 762-0009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
113 Maloney Way
Mt Sterling, KY 40353-8510
Phone (859) 762-0009
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 249710 | KY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chadwick Management PSC | Chiropractor | Current | Accepting new patients |
| Taylor County Chiropractic Inc | Chiropractor | Past | Accepting new patients |
| Taylor County Chiropractic and Rehabilitation LLC | Chiropractor | Past | Accepting new patients |
| Core Health Group PC | Chiropractor | Past | Accepting new patients |
| Dr James L Rehberger PC | Chiropractor | Past | Accepting new patients |
Locations
113 Maloney Way
Mt Sterling, KY 40353
Phone (859) 498-0011
220 Windsor Dr
Ste C
Mt Sterling, KY 40353
Phone (859) 576-4432
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- NPI 1659813723
-
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- Campbellsville, KY
- NPI 1629126347
-
- Chiropractor
- Highland, IL
- NPI 1669660262
-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579824000000",
"number": "1013908722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 MALONEY WAY",
"city": "MOUNT STERLING",
"state": "KY",
"postal_code": "403539553",
"telephone_number": "859-762-0009",
"fax_number": "859-305-1639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 MALONEY WAY",
"city": "MOUNT STERLING",
"state": "KY",
"postal_code": "403539553",
"telephone_number": "859-762-0009",
"fax_number": "859-305-1639"
}
],
"practiceLocations": [
{
"address_1": "815 Quisenberry Ln",
"address_purpose": "LOCATION",
"city": "Winchester",
"state": "KY",
"postal_code": "40391",
"country_code": "US",
"telephone_number": "859-762-0009",
"fax_number": "859-305-1639",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAULKNER",
"first_name": "MARVIN",
"middle_name": "CHAD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2020-01-24",
"certification_date": "2020-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "249710",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "8287",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt Sterling, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.