Organization Active NPI

Estill County Chiropractic, PLLC

  • Chiropractor
  • Irvine, KY
National Provider Identifier
1174569008
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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 AllenNPI 1750310181
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.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050713000839 KY Part B Supplier - Clinic/Group Practice 6305872045 Receives reassigned benefits from 1 practitioner
Practice locations: Irvine, KY

National Provider Directory

National Provider Directory

Locations

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

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.