NPIMap

Organization Active NPI

Danville Family Chiropractic 2019 PLLC

  • Chiropractor
  • Danville, KY
National Provider Identifier
1154977890
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DANVILLE FAMILY CHIROPRACTIC 2019 PLLC
Practice address
434 W Walnut St
Danville, KY 40422-1846
Phone
(859) 239-0022
Fax
(859) 239-0044
NPI assigned
Aug 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 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

434 W Walnut St
Danville, KY 40422-1846

Mailing address

434 W Walnut St
Danville, KY 40422-1846
Phone (859) 239-0022

Other practice location 1

101 Citation Dr Ste A
Danville, KY 40422-9227
Phone (859) 236-2295

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200114001963 KY Part B Supplier - Clinic/Group Practice 0547695801 Receives reassigned benefits from 9 practitioners
Practice locations: Danville, KY

National Provider Directory

National Provider Directory

Locations

430 W Walnut St
Danville, KY 40422

1199 W Lexington Ave
Winchester, KY 40391
Phone (606) 737-5800

Practitioners & affiliated clinicians

Practitioners 9

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": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1154977890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 W WALNUT ST",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221846",
            "telephone_number": "859-239-0022",
            "fax_number": "859-239-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 W WALNUT ST",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221846",
            "telephone_number": "859-239-0022",
            "fax_number": "859-239-0044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Citation Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "KY",
            "postal_code": "404229227",
            "country_code": "US",
            "telephone_number": "859-236-2295",
            "fax_number": "859-238-0107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DANVILLE FAMILY CHIROPRACTIC 2019 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.