Active NPI
William R Yadon, D.C.
- Chiropractor
- Louisville, KY
National Provider Identifier
1063443364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5059
- Practice address
- 2301 Terra Crossing Blvd
Louisville, KY 40245-4994 - Phone
- (502) 410-0191
- Fax
- (502) 890-5177
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5059 | KY | Primary |
Addresses
Primary practice location
2301 Terra Crossing Blvd
Louisville, KY 40245-4994
Mailing address
2301 Terra Crossing Blvd
Louisville, KY 40245-4994
Phone (502) 410-0191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100211280 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1713 Midland TRL
Shelbyville, KY 40065-1711
Phone (502) 633-1073
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5059 | KY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiant | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Shelbyville, KY
- NPI 1528153327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471392000000",
"number": "1063443364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 TERRA CROSSING BLVD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402454994",
"telephone_number": "502-410-0191",
"fax_number": "502-890-5177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 TERRA CROSSING BLVD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402454994",
"telephone_number": "502-410-0191",
"fax_number": "502-890-5177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YADON",
"first_name": "WILLIAM",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2016-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "5059",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100211280",
"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 Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.