Primary Care Chiropractic, PSC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4685 Issued in KY

Legal business name

PRIMARY CARE CHIROPRACTIC, PSC

Practice address

1011 Paris Rd Ste 341
Mayfield, KY 42066-3306

Phone

(270) 251-0907

Fax

(270) 251-0908

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Richard Farr, DC

Title

President

Phone

(270) 251-0907

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1104962596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 PARIS RD STE 341",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420663306",
            "telephone_number": "270-251-0907",
            "fax_number": "270-251-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 PARIS RD STE 341",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420663306",
            "telephone_number": "270-251-0907",
            "fax_number": "270-251-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE CHIROPRACTIC, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "FARR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-251-0907",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4685",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "4685",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "XPIN",
            "identifier": "TB73",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000216652",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.