Active NPI
Dreama Gail Enochs, D.C.
- Chiropractor
- Louisville, KY
National Provider Identifier
1255352373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4625
- Practice address
- 418 E Broadway
Louisville, KY 40202-1706 - Phone
- (502) 681-6800
- Fax
- (502) 681-6868
- NPI assigned
- Jul 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4625 | KY | Primary |
Addresses
Primary practice location
418 E Broadway
Louisville, KY 40202-1706
Mailing address
418 E Broadway
Louisville, KY 40202-1706
Phone (502) 681-6800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85900496 | Medicaid | KY | |
| 000000204452 | Other | KY | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Rehabilitation & Injury Clinic Inc | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Paducah, KY
- NPI 1235272535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255352373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 E BROADWAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021706",
"telephone_number": "502-681-6800",
"fax_number": "502-681-6868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 E BROADWAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021706",
"telephone_number": "502-681-6800",
"fax_number": "502-681-6868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENOCHS",
"first_name": "DREAMA",
"middle_name": "GAIL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4625",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85900496",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000204452",
"state": "KY"
}
],
"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 Jul 8, 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.