Dr. Timothy C. Sunda, D.C., P.S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4123 Issued in KY

Legal business name

DR. TIMOTHY C. SUNDA, D.C., P.S.C.

Practice address

506 N Main St
Suite a
Nicholasville, KY 40356-1125

Phone

(859) 887-3140

Fax

(859) 887-3141

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Clark Sunda, D.C.NPI 1295810679

Title

President

Phone

(859) 887-3140

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Clark Sunda, D.C.

  • Chiropractor
  • Nicholasville, KY
  • NPI 1295810679
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1174725865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 N MAIN ST",
            "address_2": "SUITE A",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403561125",
            "telephone_number": "859-887-3140",
            "fax_number": "859-887-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 N MAIN ST",
            "address_2": "SUITE A",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403561125",
            "telephone_number": "859-887-3140",
            "fax_number": "859-887-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TIMOTHY C. SUNDA, D.C., P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "SUNDA",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-887-3140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Nicholasville, KY
• Providers in Nicholasville, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.