Active NPI
Estill County Chiropractic, PLLC
- Chiropractor
- Irvine, KY
National Provider Identifier
1174569008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- ESTILL COUNTY CHIROPRACTIC, PLLC
- Practice address
- 149 Richmond Rd
Irvine, KY 40336-7222 - Phone
- (606) 723-2225
- NPI assigned
- Jun 20, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- John Allen
- Title
- Owner
- Phone
- (606) 723-2225
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Irvine, KY
- NPI 1750310181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050713000839 | KY | Part B Supplier - Clinic/Group Practice | 6305872045 |
Receives reassigned benefits from 1 practitioner Practice locations: Irvine, KY |
National Provider Directory
National Provider DirectoryLocations
129 Main St
Irvine, KY 40336
Phone (606) 464-0333
206 Wayne Dr
#B
Richmond, KY 40475
Phone (859) 623-3780
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
149 Richmond Rd
Irvine, KY 40336-7222
Mailing address
149 Richmond Rd
Irvine, KY 40336-7222
Phone (606) 723-2225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 9, 2010.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281312000000",
"number": "1174569008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 RICHMOND RD",
"city": "IRVINE",
"state": "KY",
"postal_code": "403367222",
"telephone_number": "606-723-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 RICHMOND RD",
"city": "IRVINE",
"state": "KY",
"postal_code": "403367222",
"telephone_number": "606-723-2225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESTILL COUNTY CHIROPRACTIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-20",
"last_updated": "2010-08-09",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "606-723-2225"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.