Heartland Family Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4563 Issued in KY

Legal business name

HEARTLAND FAMILY CHIROPRACTIC, PLLC

Practice address

1606 N Dixie Hwy Ste 111
Elizabethtown, KY 42701-5572

Phone

(270) 234-8880

Fax

(270) 234-1343

NPI assigned

Jan 29, 2008

Last updated

May 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adam Thomas Fulkerson, D.C.NPI 1134215577

Title

Owner

Phone

(270) 234-8880

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

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.

• Adam Thomas Fulkerson, D.C.

  • Chiropractor
  • Elizabethtown, KY
  • NPI 1134215577
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398902400000",
    "number": "1083891428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 N DIXIE HWY",
            "address_2": "STE 111",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015565",
            "telephone_number": "270-234-8880",
            "fax_number": "270-234-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 N DIXIE HWY STE 111",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015572",
            "telephone_number": "270-234-8880",
            "fax_number": "270-234-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND FAMILY CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2014-05-01",
        "status": "A",
        "authorized_official_last_name": "FULKERSON",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-234-8880",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85003002",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heartland Cardiothoracic Surgery PLLC
• Heartland Counseling Services PSC
• Heartland Diagnostics, LLC (Heartland Imaging Elizabethtown, Woodland Drive)
• Heartland Digestive Disease Center, LLC
• Heartland ENT & Allergy Center, P.S.C.
• Heartland Internal Medicine PLLC.
• Heartland Orthopaedic Associates (Elizabethtown Orthopaedic Associates)
• Heartland Pathology Consultants, PSC
• Heartland Patient Care, PLLC
• Heartland Whole Brain Learning-Pediatric & Adult Therapy LLC

• Chiropractor in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.

Verify at the official NPI Registry.