Organization Active NPI

Cundiff Chiropractic PLLC

  • Chiropractor
  • Lancaster, KY
National Provider Identifier
1083809719
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5066 Issued in KY
Legal business name
CUNDIFF CHIROPRACTIC PLLC
Practice address
230 Lexington St
Suite C
Lancaster, KY 40444-1175
Phone
(859) 792-1845
Fax
(859) 792-1846
NPI assigned
Sep 6, 2007
Last updated
Oct 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Authorized official

Name
Dr. Robert Sean Cundiff, D.C.NPI 1437359163
Title
Owner
Phone
(859) 792-1845

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
Chiropractor 111N00000X 5066 KY Primary

Addresses

Primary practice location

230 Lexington St
Suite C
Lancaster, KY 40444-1175

Mailing address

230 Lexington St
Suite C
Lancaster, KY 40444-1175
Phone (859) 792-1845

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070907000297 KY Part B Supplier - Clinic/Group Practice 5698868610 Receives reassigned benefits from 1 practitioner
Practice locations: Lancaster, KY

National Provider Directory

National Provider Directory

Locations

230 Lexington St
Ste C
Lancaster, KY 40444
Phone (859) 792-1845

Practitioners & affiliated clinicians

Practitioners 1

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": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1083809719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 LEXINGTON ST",
            "address_2": "SUITE C",
            "city": "LANCASTER",
            "state": "KY",
            "postal_code": "404441175",
            "telephone_number": "859-792-1845",
            "fax_number": "859-792-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 LEXINGTON ST",
            "address_2": "SUITE C",
            "city": "LANCASTER",
            "state": "KY",
            "postal_code": "404441175",
            "telephone_number": "859-792-1845",
            "fax_number": "859-792-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUNDIFF CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "CUNDIFF",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-792-1845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.