Active NPI
Michael R Kowalski DC PLLC
- Chiropractor
- Louisville, KY
National Provider Identifier
1205029030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4524
- Legal business name
- MICHAEL R KOWALSKI DC PLLC
- Doing business as
- Knobview Family Chiropractic
- Practice address
- 8006 Shepherdsville Rd
Louisville, KY 40219-4050 - Phone
- (502) 964-9800
- Fax
- (502) 964-1847
- NPI assigned
- Aug 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Kowalski, D.C.
- Title
- Owner/President
- Phone
- (502) 964-9800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4524 | KY | Primary |
Addresses
Primary practice location
8006 Shepherdsville Rd
Louisville, KY 40219-4050
Mailing address
8006 Shepherdsville Rd
Louisville, KY 40219-4050
Phone (502) 964-9800
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 613993 | Other | KY | ACN GROUP |
| 7189402 | Other | KY | AETNA |
| 000000275184 | Other | KY | ANTHEM BCBS |
| 50000867 GROUP ID | Other | KY | PASSPORT HEALTHPLAN |
| 3463110 | Other | KY | CIGNA |
| 85002483 | Medicaid | KY | |
| 50000868 PERSONAL | Other | KY | PASSPORT HEALTHPLAN |
| 613993 | Other | KY | UNITED HEALTHCARE |
Other names 1
- Knobview Family Chiropractic
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187913600000",
"number": "1205029030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8006 SHEPHERDSVILLE RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402194050",
"telephone_number": "502-964-9800",
"fax_number": "502-964-1847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8006 SHEPHERDSVILLE RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402194050",
"telephone_number": "502-964-9800",
"fax_number": "502-964-1847"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL R KOWALSKI DC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-24",
"last_updated": "2007-08-24",
"status": "A",
"authorized_official_last_name": "KOWALSKI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "502-964-9800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "KY",
"license": "4524",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN GROUP",
"identifier": "613993",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7189402",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000275184",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT HEALTHPLAN",
"identifier": "50000867 GROUP ID",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3463110",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85002483",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT HEALTHPLAN",
"identifier": "50000868 PERSONAL",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "613993",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Knobview Family Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.