Active NPI
Miranda Bunge, DC
- Chiropractor
- Louisville, KY
National Provider Identifier
1245618420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5471
- Practice address
- 3407 Fern Valley Rd
Louisville, KY 40213-3529 - Phone
- (502) 961-9355
- Fax
- (502) 961-9357
- NPI assigned
- May 8, 2015
- Last updated
- Feb 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1234 | TN | |
| Chiropractor | 111N00000X | 5471 | KY | Primary |
Addresses
Primary practice location
3407 Fern Valley Rd
Louisville, KY 40213-3529
Mailing address
8678 Ramsey LN
Du Quoin, IL 62832-3862
Phone (618) 318-1351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3407 Fern Valley Rd
Louisville, KY 40213-3529
Phone (502) 961-9355
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1234 | TN | MD | Marriage & Family Therapist |
| 2873 | TN | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jones Chiropractic and Massage Inc | Chiropractor | Current | Accepting new patients |
Locations
3407 Fern Valley Rd
Louisville, KY 40213
Phone (502) 961-9355
Organizations & group practices 1
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.
-
dba Fern Valley Chiropractic
- Chiropractor
- Louisville, KY
- NPI 1720366081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455494400000",
"number": "1245618420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8678 RAMSEY LN",
"city": "DU QUOIN",
"state": "IL",
"postal_code": "628323862",
"telephone_number": "618-318-1351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3407 FERN VALLEY RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402133529",
"telephone_number": "502-961-9355",
"fax_number": "502-961-9357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNGE",
"first_name": "MIRANDA",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-08",
"last_updated": "2016-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "1234",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "5471",
"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 Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.