Organization Active NPI

Mill Pond Family Chiropractic LLC

  • Chiropractor
  • Lexington, KY
National Provider Identifier
1053689018
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5298 Issued in KY
Legal business name
MILL POND FAMILY CHIROPRACTIC LLC
Practice address
3650 Boston Rd
Suite E
Lexington, KY 40514-1569
Phone
(859) 219-0617
NPI assigned
Dec 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Dr. Justin Pearce, D.C.
Title
Owner
Phone
(859) 219-0617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5298 KY Primary

Addresses

Primary practice location

3650 Boston Rd
Suite E
Lexington, KY 40514-1569

Mailing address

3051 Kirklevington Dr
173
Lexington, KY 40517-2422
Phone (925) 487-0253

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1053689018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 KIRKLEVINGTON DR",
            "address_2": "173",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405172422",
            "telephone_number": "925-487-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 BOSTON RD",
            "address_2": "SUITE E",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405141569",
            "telephone_number": "859-219-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL POND FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "PEARCE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-219-0617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.