NPIMap

Organization Active NPI

West Dixie Spine and Rehab Centers

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1134468028
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5355 Issued in KY
Legal business name
WEST DIXIE SPINE AND REHAB CENTERS
Doing business as
Louisville Chiropractic and Injury Centers
Practice address
5105 B Dixie Hwy
Louisville, KY 40216
Phone
(502) 449-5955
NPI assigned
Feb 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Authorized official

Name
Dr. Ryan Grand, D.C.
Title
Present
Phone
(561) 729-7092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5355 KY Primary

Addresses

Primary practice location

5105 B Dixie Hwy
Louisville, KY 40216

Mailing address

6661 Dixie Hwy Ste 4, Box 311
Louisville, KY 40258

Other names 1

  • Louisville Chiropractic and Injury Centers Doing business as

National Provider Directory

National Provider Directory

Locations

5105 Dixie Hwy
#B
Louisville, KY 40216
Phone (502) 449-5955

6661 Dixie Hwy
Ste 4
Louisville, KY 40258

NPI Registry JSON

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1134468028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6661 DIXIE HWY STE 4, BOX 311",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 B DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40216",
            "telephone_number": "502-449-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST DIXIE SPINE AND REHAB CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "GRAND",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESENT",
        "authorized_official_telephone_number": "561-729-7092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisville Chiropractic and Injury Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.