Organization Active NPI

Elswick Chiropractic & Associates

  • Chiropractor
  • Lexington, KY
National Provider Identifier
1194868554
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ELSWICK CHIROPRACTIC & ASSOCIATES
Practice address
3198 Custer Dr
Suite 200
Lexington, KY 40517-4000
Phone
(859) 273-8111
Fax
(859) 271-3178
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Authorized official

Name
Dr. Clayton Elswick, DCNPI 1306858394
Title
Owner,President
Phone
(859) 273-8111

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X KY Primary

Addresses

Primary practice location

3198 Custer Dr
Suite 200
Lexington, KY 40517-4000

Mailing address

3198 Custer Dr
Suite 200
Lexington, KY 40517-4000
Phone (859) 273-8111

Other identifiers 1

IdentifierTypeStateIssuer
8590042100MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031230000560 KY Part B Supplier - Clinic/Group Practice 7012815848 Receives reassigned benefits from 3 practitioners
Practice locations: Lexington, KY

National Provider Directory

National Provider Directory

Locations

3198 Custer Dr
Ste 200
Lexington, KY 40517
Phone (859) 273-8111

Practitioners & affiliated clinicians

Practitioners 8

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": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1194868554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3198 CUSTER DR",
            "address_2": "SUITE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174000",
            "telephone_number": "859-273-8111",
            "fax_number": "859-271-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3198 CUSTER DR",
            "address_2": "SUITE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174000",
            "telephone_number": "859-273-8111",
            "fax_number": "859-271-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELSWICK CHIROPRACTIC & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "ELSWICK",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_title_or_position": "OWNER,PRESIDENT",
        "authorized_official_telephone_number": "859-273-8111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8590042100",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.