Organization Active NPI

Georgetown Chiropractic Center

  • Chiropractor
  • Georgetown, KY
National Provider Identifier
1053973644
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GEORGETOWN CHIROPRACTIC CENTER
Practice address
1304 Paris Pike
Georgetown, KY 40324-9704
Phone
(859) 242-9469
NPI assigned
Jul 3, 2019
Last updated
Jul 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Dr. Amanda Howell Winters, DCNPI 1487876579
Title
Member
Phone
(502) 735-0707

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 Primary

Addresses

Primary practice location

1304 Paris Pike
Georgetown, KY 40324-9704

Mailing address

1304 Paris Pike
Georgetown, KY 40324-9704
Phone (502) 735-0707

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190814004160 KY Part B Supplier - Clinic/Group Practice 9436486388 Receives reassigned benefits from 3 practitioners
Practice locations: Georgetown, KY

National Provider Directory

National Provider Directory

Locations

1304 Paris Pike
Georgetown, KY 40324
Phone (502) 735-0707

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1053973644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 PARIS PIKE",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249704",
            "telephone_number": "502-735-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 PARIS PIKE",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249704",
            "telephone_number": "859-242-9469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "WINTERS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "HOWELL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "502-735-0707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.