Organization Active NPI

Core Health Centers of Dry Ridge LLC

  • Chiropractor
  • Dry Ridge, KY
National Provider Identifier
1194332338
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CORE HEALTH CENTERS OF DRY RIDGE LLC
Practice address
1113 Fashion Ridge Rd
Dry Ridge, KY 41035-9609
Phone
(606) 831-4432
Fax
(859) 643-6100
NPI assigned
Sep 30, 2020
Last updated
Mar 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Jeremiah Holmes, DCNPI 1689771081
Title
Owner
Phone
(859) 643-6100

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 NU Primary

Addresses

Primary practice location

1113 Fashion Ridge Rd
Dry Ridge, KY 41035-9609

Mailing address

1113 Fashion Ridge Rd
Dry Ridge, KY 41035-9609
Phone (606) 831-4432

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210112003048 KY Part B Supplier - Clinic/Group Practice 7719307990 Receives reassigned benefits from 7 practitioners
Practice locations: Dry Ridge, KY

National Provider Directory

National Provider Directory

Locations

1113 Fashion Ridge Rd
Dry Ridge, KY 41035
Phone (859) 643-6100

Practitioners & affiliated clinicians

Practitioners 8

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": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1194332338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 FASHION RIDGE RD",
            "city": "DRY RIDGE",
            "state": "KY",
            "postal_code": "410359609",
            "telephone_number": "606-831-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 FASHION RIDGE RD",
            "city": "DRY RIDGE",
            "state": "KY",
            "postal_code": "410359609",
            "telephone_number": "606-831-4432",
            "fax_number": "859-643-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE HEALTH CENTERS OF DRY RIDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-643-6100",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dry Ridge, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.