Individual provider Active NPI

Kevin James Wadle, DC

  • Chiropractor
  • Taylorsville, KY
National Provider Identifier
1245226992
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4328 Issued in KY
Practice address
101 Settlers Center Rd
Taylorsville, KY 40071-7732
Phone
(502) 477-5000
Fax
(502) 477-5005
NPI assigned
Sep 27, 2005
Last updated
Nov 14, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4328 KY Primary

Addresses

Primary practice location

101 Settlers Center Rd
Taylorsville, KY 40071-7732

Mailing address

101 Settlers Center Rd
Taylorsville, KY 40071-7732
Phone (502) 477-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2304 Hurstbourne Village Dr
Suite 100
Louisville, KY 40299-1853

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4328KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Danan L Hall Chiropractic PLLC Chiropractor Past Accepting new patients
Taylorsville Chiropractic, Inc Chiropractor PastSince May 1, 2003 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1245226992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SETTLERS CENTER RD",
            "city": "TAYLORSVILLE",
            "state": "KY",
            "postal_code": "400717732",
            "telephone_number": "502-477-5000",
            "fax_number": "502-477-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SETTLERS CENTER RD",
            "city": "TAYLORSVILLE",
            "state": "KY",
            "postal_code": "400717732",
            "telephone_number": "502-477-5000",
            "fax_number": "502-477-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADLE",
        "first_name": "KEVIN",
        "middle_name": "JAMES",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.