Organization Active NPI

Gable Chiropractic, PSC

Doing business as West Port Chiropractic

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1033277298
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4773 Issued in KY
Legal business name
GABLE CHIROPRACTIC, PSC
Doing business as
West Port Chiropractic
Practice address
9407 Westport Rd
Suite 110
Louisville, KY 40241-2299
Phone
(502) 326-5000
Fax
(502) 326-5054
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Authorized official

Name
Dr. Randall Allan Wheeler, DCNPI 1992990683
Title
Chiropractor
Phone
(502) 326-5000

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4773 KY Primary

Addresses

Primary practice location

9407 Westport Rd
Suite 110
Louisville, KY 40241-2299

Mailing address

9425 Westport Road
Louisville, KY 40241-2219
Phone (502) 326-5000

Other identifiers 1

IdentifierTypeStateIssuer
1C 9371OtherKYMEDICARE

Other names 1

  • West Port Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041027000336 KY Part B Supplier - Clinic/Group Practice 2567424195 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Locations

9425 Westport Rd
Louisville, KY 40241
Phone (502) 326-5000

4169 Westport Rd
Ste 107
Louisville, KY 40207
Phone (502) 326-5000

Practitioners & affiliated clinicians

Practitioners 1

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": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1033277298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425 WESTPORT ROAD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412219",
            "telephone_number": "502-326-5000",
            "fax_number": "502-326-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9407 WESTPORT RD",
            "address_2": "SUITE 110",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412299",
            "telephone_number": "502-326-5000",
            "fax_number": "502-326-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABLE CHIROPRACTIC, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "502-326-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1C 9371",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Port Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.