Organization Active NPI

East Kentucky Chiropractic PSC

  • Chiropractor
  • Hazard, KY
National Provider Identifier
1194737031
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4560 Issued in KY
Legal business name
EAST KENTUCKY CHIROPRACTIC PSC
Practice address
148 Taylor Ridge Rd
Hazard, KY 41701-6659
Phone
(606) 487-8255
Fax
(606) 487-8433
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Authorized official

Name
Dr. Alan Dale Williiams, D.C.
Title
Owner
Phone
(606) 487-8255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 4560 KY Primary

Addresses

Primary practice location

148 Taylor Ridge Rd
Hazard, KY 41701-6659

Mailing address

148 Taylor Ridge Rd
Hazard, KY 41701-6659
Phone (606) 487-8255

Other identifiers 1

IdentifierTypeStateIssuer
85000586MedicaidKY

National Provider Directory

National Provider Directory

Locations

148 Taylor Ridge Rd
Hazard, KY 41701
Phone (606) 487-8255

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1194737031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 TAYLOR RIDGE RD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417016659",
            "telephone_number": "606-487-8255",
            "fax_number": "606-487-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 TAYLOR RIDGE RD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417016659",
            "telephone_number": "606-487-8255",
            "fax_number": "606-487-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST KENTUCKY CHIROPRACTIC PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "WILLIIAMS",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-487-8255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85000586",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.