Organization Active NPI

Healthsource of Elizabethtown

  • Chiropractor
  • Elizabethtown, KY
National Provider Identifier
1083890909
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4477 Issued in KY
Legal business name
HEALTHSOURCE OF ELIZABETHTOWN
Practice address
120 Helmwood Plaza Dr
Suite 106
Elizabethtown, KY 42701-2479
Phone
(270) 769-5400
Fax
(270) 769-0567
NPI assigned
Jan 10, 2008
Last updated
May 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Dr. Donald R. Casey, D.C.NPI 1053313981
Title
Owner
Phone
(270) 769-5400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4477 KY Primary

Addresses

Primary practice location

120 Helmwood Plaza Dr
Suite 106
Elizabethtown, KY 42701-2479

Mailing address

PO Box 996
Elizabethtown, KY 42702-0996
Phone (270) 769-5400

National Provider Directory

National Provider Directory

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": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1083890909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 996",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427020996",
            "telephone_number": "270-769-5400",
            "fax_number": "270-769-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HELMWOOD PLAZA DR",
            "address_2": "SUITE 106",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012479",
            "telephone_number": "270-769-5400",
            "fax_number": "270-769-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE OF ELIZABETHTOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-769-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.