Active NPI
Spine Center Inc
- Chiropractor
- Louisville, KY
National Provider Identifier
1053531665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4532
- Legal business name
- SPINE CENTER INC
- Practice address
- 8707 Old Bardstown Rd
Louisville, KY 40291-4435 - Phone
- (502) 231-4003
- Fax
- (502) 384-0374
- NPI assigned
- Apr 26, 2007
- Last updated
- Oct 7, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Todd M Hostutler, DC
- Title
- Owner
- Phone
- (502) 231-4003
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4532 | KY | Primary |
Addresses
Primary practice location
8707 Old Bardstown Rd
Louisville, KY 40291-4435
Mailing address
8707 Old Bardstown Rd
Louisville, KY 40291-4435
Phone (502) 231-4003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100148500 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8707 Old Bardstown Rd
Louisville, KY 40291
Phone (502) 231-4003
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Chiropractor
- Louisville, KY
- NPI 1609980457
-
- Chiropractor
- Shelbyville, KY
- NPI 1134717721
-
- Massage Therapist
- Louisville, KY
- NPI 1801438023
-
- Massage Therapist
- Louisville, KY
- NPI 1255711891
-
- Chiropractor
- Marion, IL
- NPI 1245286574
-
- Chiropractor
- Tallahassee, FL
- NPI 1720002033
-
- Chiropractor
- Plano, TX
- NPI 1306950167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444176000000",
"number": "1053531665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8707 OLD BARDSTOWN RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402914435",
"telephone_number": "502-231-4003",
"fax_number": "502-384-0374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8707 OLD BARDSTOWN RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402914435",
"telephone_number": "502-231-4003",
"fax_number": "502-384-0374"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINE CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-26",
"last_updated": "2015-10-07",
"status": "A",
"authorized_official_last_name": "HOSTUTLER",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "502-231-4003",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4532",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100148500",
"state": "KY"
}
],
"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 7, 2015; 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.