Abc Family Chiropractic
Organization Active NPI Chiropractor · Paintsville, KY
NPI 1083735336 · NPPES record last updated Apr 5, 2012
Key facts
- NPI
- 1083735336
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4591 (KY)
- Legal business name
- ABC FAMILY CHIROPRACTIC
- Practice address
- 705 Broadway St
Paintsville, KY 41240-1513 - Phone
- (606) 788-0015
- Fax
- (606) 788-0015
- NPI assigned
- Apr 3, 2007
- Organization subpart
- No
Authorized official
- Name
- Brian Dewire, DC
- Title
- Owner Operator
- Phone
- (606) 788-0015
Practitioners 2
-
Brian Charles Dewire, D.C.
-
Joseph C Slone, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080611000812 | KY | Part B Supplier - Clinic/Group Practice | 3678644150 |
Receives reassigned benefits from 2 practitioners Practice locations: Paintsville, KY |
National Provider Directory
Locations
317 Broadway St
Paintsville, KY 41240
Phone (606) 220-0397
705 Broadway St
Paintsville, KY 41240
Phone (606) 788-0015
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 4591 | KY | Yes |
Addresses
Primary practice location
705 Broadway St
Paintsville, KY 41240-1513
Mailing address
PO Box 708
705 Broadway
Paintsville, KY 41240-0708
Phone (606) 788-0015
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85000552 | Medicaid | KY |
Other providers in Paintsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.