Organization Active NPI

Gore Net Enterprise, LLC

Doing business as Summit Family Chiropractic

  • Chiropractor
  • Lexington, KY
National Provider Identifier
1164136768
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GORE NET ENTERPRISE, LLC
Doing business as
Summit Family Chiropractic
Practice address
3167 Custer Dr Ste 202
Lexington, KY 40517-4018
Phone
(859) 271-2285
NPI assigned
Jan 9, 2023
Last updated
May 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Authorized official

Name
Susan Gore, DCNPI 1518515923
Title
Owner
Phone
(281) 253-9344

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

3167 Custer Dr Ste 202
Lexington, KY 40517-4018

Mailing address

3167 Custer Dr Ste 202
Lexington, KY 40517-4018

Other names 1

  • Summit Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230609001061 KY Part B Supplier - Clinic/Group Practice 0446617211 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, KY

National Provider Directory

National Provider Directory

Locations

3167 Custer Dr
Ste 202
Lexington, KY 40517
Phone (859) 271-2285

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1164136768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3167 CUSTER DR STE 202",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3167 CUSTER DR STE 202",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174018",
            "telephone_number": "859-271-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORE NET ENTERPRISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "GORE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-253-9344",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summit Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.