Kentucky Chiropractic Center Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3940 Issued in KY

Legal business name

KENTUCKY CHIROPRACTIC CENTER INC.

Practice address

4 Hidden Valley Dr
Ste F
Highland Heights, KY 41076-7610

Phone

(859) 441-8181

Fax

(859) 441-0113

NPI assigned

May 21, 2008

Last updated

Jan 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John J Squicciarini, DC

Title

Owner

Phone

(859) 441-8181

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1194982785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HIDDEN VALLEY DR",
            "address_2": "STE F",
            "city": "HIGHLAND HEIGHTS",
            "state": "KY",
            "postal_code": "410767610",
            "telephone_number": "859-441-8181",
            "fax_number": "859-441-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HIDDEN VALLEY DR",
            "address_2": "STE F",
            "city": "HIGHLAND HEIGHTS",
            "state": "KY",
            "postal_code": "410767610",
            "telephone_number": "859-441-8181",
            "fax_number": "859-441-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY CHIROPRACTIC CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "SQUICCIARINI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-441-8181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "3940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85001063",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Highland Heights, KY
• Providers in Highland Heights, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.