Organization Active NPI

Fall City Chiropractic

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1205339686
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FALL CITY CHIROPRACTIC
Practice address
3050 W Broadway Ste F
Louisville, KY 40211-1475
Phone
(502) 882-1752
NPI assigned
Mar 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Authorized official

Name
Michael Clover
Title
Owner
Phone
(502) 882-1752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3050 W Broadway Ste F
Louisville, KY 40211-1475

Mailing address

3050 W Broadway
Louisville, KY 40211-1475

National Provider Directory

National Provider Directory

Locations

3050 W Broadway
Ste F
Louisville, KY 40211
Phone (502) 882-1752

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1205339686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 W BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402111475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 W BROADWAY STE F",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402111475",
            "telephone_number": "502-882-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALL CITY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "CLOVER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-882-1752"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 13, 2018; 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.