Active NPI
Grant County Wellness Center LLC
- Pain Clinic/Center
- Dry Ridge, KY
National Provider Identifier
1164713103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- License
- 0788501.06
- Legal business name
- GRANT COUNTY WELLNESS CENTER LLC
- Practice address
- 99 S. Main St.
Dry Ridge, KY 41035 - Phone
- (859) 325-5655
- Fax
- (859) 823-0530
- NPI assigned
- Apr 25, 2011
- Last updated
- Sep 14, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ernest William Singleton
- Title
- R.N./C.O.O.
- Phone
- (859) 325-5655
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | 0788501.06 | KY | Primary |
| Anesthesiology Physician | 207L00000X | 26944 | NU |
Addresses
Primary practice location
99 S. Main St.
Dry Ridge, KY 41035
Mailing address
99 S. Main St.
Dry Ridge, KY 41035
Phone (859) 325-5655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208VP0000X | Other | KY | TAXONOMY |
National Provider Directory
National Provider DirectoryLocations
99 S Main St
Dry Ridge, KY 41035
Phone (859) 785-5717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315958400000",
"number": "1164713103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 S. MAIN ST.",
"city": "DRY RIDGE",
"state": "KY",
"postal_code": "41035",
"telephone_number": "859-325-5655",
"fax_number": "859-823-0530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 S. MAIN ST.",
"city": "DRY RIDGE",
"state": "KY",
"postal_code": "41035",
"telephone_number": "859-325-5655",
"fax_number": "859-823-0530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRANT COUNTY WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-25",
"last_updated": "2011-09-14",
"status": "A",
"authorized_official_last_name": "SINGLETON",
"authorized_official_first_name": "ERNEST",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "R.N./C.O.O.",
"authorized_official_telephone_number": "859-325-5655",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": "KY",
"license": "0788501.06",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NU",
"license": "26944",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY",
"identifier": "208VP0000X",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dry Ridge, KY
- Niklaus F. Gehler, D.C.
- Candace N Gorby, AT
- Grant County Chiropractic
- Grant County Drugs Inc (Grant County Drugs)
- Grant County Foot Specialist
- Grant Pharmacist Group Inc (Total Care Pharmacy)
- Grant Pharmacists Group (Total Care Pharmacy#3)
- Grant Pharmacists Group Inc (Total Care Pharmacy #3)
- Debbie Gregory
- Toni Griffin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.