Organization Active NPI

Middletown Family Chiropractic

  • Chiropractor
  • Middletown, KY
National Provider Identifier
1174945091
Registry record updated Jan 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5412 Issued in KY
Legal business name
MIDDLETOWN FAMILY CHIROPRACTIC
Practice address
12334 Shelbyville Rd
Middletown, KY 40243-1471
Phone
(502) 253-6770
Fax
(502) 253-6772
NPI assigned
Jan 12, 2014
Last updated
Jan 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2014

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

Authorized official

Name
Dr. Elizabeth Joy Tamminga, D.C.NPI 1306268214
Title
Chiropractor
Phone
(502) 253-6770

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 5412 KY Primary

Addresses

Primary practice location

12334 Shelbyville Rd
Middletown, KY 40243-1471

Mailing address

12334 Shelbyville Rd
Middletown, KY 40243-1471
Phone (502) 253-6770

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140214000600 KY Part B Supplier - Clinic/Group Practice 8820227853 Receives reassigned benefits from 4 practitioners
Practice locations: Middletown, KY

National Provider Directory

National Provider Directory

Locations

12334 Shelbyville Rd
Middletown, KY 40243
Phone (502) 253-6770

13012 Shelbyville Rd
Middletown, KY 40243
Phone (502) 253-6770

Practitioners & affiliated clinicians

Practitioners 4

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": "1389484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389484800000",
    "number": "1174945091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12334 SHELBYVILLE RD",
            "city": "MIDDLETOWN",
            "state": "KY",
            "postal_code": "402431471",
            "telephone_number": "502-253-6770",
            "fax_number": "502-253-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12334 SHELBYVILLE RD",
            "city": "MIDDLETOWN",
            "state": "KY",
            "postal_code": "402431471",
            "telephone_number": "502-253-6770",
            "fax_number": "502-253-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLETOWN FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-12",
        "last_updated": "2014-01-12",
        "status": "A",
        "authorized_official_last_name": "TAMMINGA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "502-253-6770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2014; 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.