Organization Active NPI

Richmond Family Chiropractic

  • Chiropractor
  • Richmond, KY
National Provider Identifier
1154746790
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RICHMOND FAMILY CHIROPRACTIC
Doing business as
Bluegrass Chiro Richmond
Practice address
301 Big Hill Ave
Richmond, KY 40475-2011
Phone
(859) 353-8603
Fax
(859) 353-8605
NPI assigned
Feb 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Tosha McCormack
Title
Compliance Officer
Phone
(859) 408-5440

Specialties & licenses 1

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

Addresses

Primary practice location

301 Big Hill Ave
Richmond, KY 40475-2011

Mailing address

301 Big Hill Ave
Richmond, KY 40475-2011
Phone (859) 353-8603

Other identifiers 1

IdentifierTypeStateIssuer
7100296500MedicaidKY

Other names 1

  • Bluegrass Chiro Richmond Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140612001435 KY Part B Supplier - Clinic/Group Practice 4587888540 Receives reassigned benefits from 6 practitioners
Practice locations: Richmond, KY

National Provider Directory

National Provider Directory

Locations

301 Big Hill Ave
Richmond, KY 40475
Phone (859) 353-8603

Practitioners & affiliated clinicians

Practitioners 6

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": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1154746790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BIG HILL AVE",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752011",
            "telephone_number": "859-353-8603",
            "fax_number": "859-353-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BIG HILL AVE",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752011",
            "telephone_number": "859-353-8603",
            "fax_number": "859-353-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "MCCORMACK",
        "authorized_official_first_name": "TOSHA",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "859-408-5440"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100296500",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluegrass Chiro Richmond",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.