Active NPI
Valley Chiropractic Center, PSC
- Chiropractor
- Louisville, KY
National Provider Identifier
1063469161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4168
- Legal business name
- VALLEY CHIROPRACTIC CENTER, PSC
- Practice address
- 3910 E Pages LN
Louisville, KY 40272-2669 - Phone
- (502) 937-4481
- NPI assigned
- May 27, 2006
- 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
- Donald Paul Eldridge, D.C.
- Title
- President
- Phone
- (502) 937-4481
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 | 4168 | KY | Primary |
Addresses
Primary practice location
3910 E Pages LN
Louisville, KY 40272-2669
Mailing address
3910 E Pages LN
Louisville, KY 40272-2669
Phone (502) 937-4481
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3910 E Pages Ln
Louisville, KY 40272
Phone (502) 937-4481
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Louisville, KY
- NPI 1649213372
-
- Chiropractor
- Louisville, KY
- NPI 1063452092
-
- Chiropractor
- Louisville, KY
- NPI 1720088289
-
- Chiropractor
- Bardstown, KY
- NPI 1154499036
-
- Chiropractor
- Greeley, CO
- NPI 1700971488
-
- Chiropractor
- New Albany, IN
- NPI 1376816173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402617600000",
"number": "1063469161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3910 E PAGES LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402722669",
"telephone_number": "502-937-4481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3910 E PAGES LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402722669",
"telephone_number": "502-937-4481"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY CHIROPRACTIC CENTER, PSC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-27",
"last_updated": "2014-06-13",
"status": "A",
"authorized_official_last_name": "ELDRIDGE",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "502-937-4481",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "KY",
"license": "4168",
"primary": true
}
],
"identifiers": [],
"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 Jun 13, 2014; 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.