Organization Active NPI

Chiropractic Health Center of Winchester PLLC

  • Chiropractor
  • Winchester, KY
National Provider Identifier
1124630207
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROPRACTIC HEALTH CENTER OF WINCHESTER PLLC
Practice address
1593 Bypass Rd
Winchester, KY 40391-2714
Phone
(859) 408-5440
NPI assigned
Aug 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Authorized official

Name
Callie Short, DCNPI 1699736694
Title
Owner
Phone
(859) 583-3842

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1593 Bypass Rd
Winchester, KY 40391-2714

Mailing address

1593 Bypass Rd
Winchester, KY 40391-2714
Phone (859) 408-5440

Other names 1

  • Bluegrass Chiro Winchester Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200904001546 KY Part B Supplier - Clinic/Group Practice 4789001736 Receives reassigned benefits from 2 practitioners
Practice locations: Winchester, KY

National Provider Directory

National Provider Directory

Locations

1593 Bypass Rd
Winchester, KY 40391
Phone (859) 355-5100

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1124630207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1593 BYPASS RD",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403912714",
            "telephone_number": "859-408-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1593 BYPASS RD",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403912714",
            "telephone_number": "859-408-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTH CENTER OF WINCHESTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "CALLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-583-3842",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluegrass Chiro Winchester",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bluegrass Chiro Winchester",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winchester, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.