Individual provider Active NPI

Heath Gallentine, D.C.

  • Chiropractor
  • Lexington, KY
National Provider Identifier
1275662447
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4846 Issued in KY
Practice address
131 Prosperous PL
Suite 15
Lexington, KY 40509-1853
Phone
(859) 264-1140
Fax
(859) 245-1190
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4846 KY Primary

Addresses

Primary practice location

131 Prosperous PL
Suite 15
Lexington, KY 40509-1853

Mailing address

131 Prosperous PL
Suite 15
Lexington, KY 40509-1853
Phone (859) 264-1140

Other identifiers 8

IdentifierTypeStateIssuer
664708OtherKYUNITED HEALTHCARE ACN
770498OtherKYAETNA
7764195OtherKYCIGNA
000000352212OtherKYBLUE CROSS BLUE SHIELD
26-4779453OtherKYCHA
26-4779453OtherKYHUMANA
85002970MedicaidKY
3416485OtherKYAETNA HMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040413000543 KY Practitioner - Chiropractic 0244224251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

131 Prosperous PL
Suite 15
Lexington, KY 40509-1853
Phone (859) 264-1140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4846KYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Family Chiropractic PLLC Chiropractor CurrentSince Jun 7, 2010 Accepting new patients
Elswick Chiropractic & Associates Chiropractor PastSince Jan 1, 2001 Accepting new patients
Steve Marcum PT, LLC PastSince May 4, 2017 Accepting new patients

Locations

131 Prosperous Pl
#15
Lexington, KY 40509

131 Prosperous Pl
Ste 15
Lexington, KY 40509
Phone (859) 264-1140

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1275662447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 PROSPEROUS PL",
            "address_2": "SUITE 15",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091853",
            "telephone_number": "859-264-1140",
            "fax_number": "859-245-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 PROSPEROUS PL",
            "address_2": "SUITE 15",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091853",
            "telephone_number": "859-264-1140",
            "fax_number": "859-245-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLENTINE",
        "first_name": "HEATH",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE ACN",
            "identifier": "664708",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "770498",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7764195",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000352212",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "26-4779453",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "26-4779453",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85002970",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3416485",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.

Verify at the official NPI Registry.