NPIMap

Organization Active NPI

Prestige Chiropractic Center

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1033547872
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5363 Issued in KY
Legal business name
PRESTIGE CHIROPRACTIC CENTER
Practice address
3808 Shepherdsville Rd
Louisville, KY 40218-2579
Phone
(502) 459-5563
Fax
(502) 459-5513
NPI assigned
Oct 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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

Authorized official

Name
Cublain Geurrier, DC
Title
President
Phone
(502) 459-5563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5363 KY Primary

Addresses

Primary practice location

3808 Shepherdsville Rd
Louisville, KY 40218-2579

Mailing address

3808 Shepherdsville Rd
Louisville, KY 40218-2579
Phone (502) 459-5563

National Provider Directory

National Provider Directory

Locations

3808 Shepherdsville Rd
Louisville, KY 40218
Phone (502) 459-5563

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": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1033547872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 SHEPHERDSVILLE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402182579",
            "telephone_number": "502-459-5563",
            "fax_number": "502-459-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 SHEPHERDSVILLE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402182579",
            "telephone_number": "502-459-5563",
            "fax_number": "502-459-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "GEURRIER",
        "authorized_official_first_name": "CUBLAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-459-5563",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.