Eddie L. Embry, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

250360 Issued in KY

Practice address

1211 N Main St
Beaver Dam, KY 42320-8955

Phone

(270) 274-0888

Fax

(270) 274-0890

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Ohio County Hospital Corporation

  • Community Based Hospice Care Agency
  • Hartford, KY
  • NPI 1255497574

  Corporate Director

  CMS ownership
• Ohio County Hospital Corporation

  • Medicare Defined Swing Bed Hospital Unit
  • Hartford, KY
  • NPI 1316979149

  Corporate Director

  CMS ownership
• Ohio County Hospital Corporation

  • Critical Access Hospital
  • Hartford, KY
  • NPI 1629007430

  Corporate Director

  CMS ownership
• Ohio County Hospital Corporation

  • Rural Health Clinic/Center
  • Fordsville, KY
  • NPI 1750447231

  Corporate Director

  CMS ownership
• Ohio County Hospital Corporation

  • Rural Health Clinic/Center
  • Morgantown, KY
  • NPI 1902226590

  Corporate Director

  CMS ownership

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.

• Embry Chiropractic Center Inc

  • Chiropractor
  • Beaver Dam, KY
  • NPI 1487796793
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1285709758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N MAIN ST",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423208955",
            "telephone_number": "270-274-0888",
            "fax_number": "270-274-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N MAIN ST",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423208955",
            "telephone_number": "270-274-0888",
            "fax_number": "270-274-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMBRY",
        "first_name": "EDDIE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "250360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85003143",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly M Devore, DO
• Donald Kevin Gregory MD, PSC
• Tate Downing
• Embry Chiropractic Center Inc
• Ashten Whitni Embry, APRN
• Joan Elizabeth Embry, LPCA
• Excel Anesthesia PSC
• Mhroos Faik Barak Peters, M.D.
• Fast Pace Kentucky, PLLC
• Meredith Figg, PHARMD

• All providers in Beaver Dam, KY
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.