Runyon Specific Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4816 Issued in KY

Legal business name

RUNYON SPECIFIC CHIROPRACTIC, LLC

Practice address

1448 Diederich Blvd
Russell, KY 41169-1719

Phone

(606) 833-9355

Fax

(606) 833-1895

NPI assigned

Nov 1, 2007

Last updated

Nov 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason Wayne Runyon, D.C.NPI 1679617344

Title

Chiropractor

Phone

(606) 833-9355

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason W Runyon, D.C.

  • Chiropractor
  • Flatwoods, KY
  • NPI 1679617344
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226016000000",
    "number": "1043499403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411050741",
            "telephone_number": "606-833-9355",
            "fax_number": "606-833-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 DIEDERICH BLVD",
            "city": "RUSSELL",
            "state": "KY",
            "postal_code": "411691719",
            "telephone_number": "606-833-9355",
            "fax_number": "606-833-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUNYON SPECIFIC CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2008-11-07",
        "status": "A",
        "authorized_official_last_name": "RUNYON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "606-833-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Russell, KY
• Providers in Russell, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; 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.