Active NPI
Taylorsville Chiropractic, Inc
- Chiropractor
- Taylorsville, KY
National Provider Identifier
1285754085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- KY4328
- Legal business name
- TAYLORSVILLE CHIROPRACTIC, INC
- Practice address
- 101 Settlers Center Rd
Taylorsville, KY 40071-7732 - Phone
- (502) 477-5000
- NPI assigned
- Mar 29, 2007
- Last updated
- Nov 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kevin J. Wadle, D.C.
- Title
- Chiropractor
- Phone
- (502) 477-5000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | KY4328 | KY | Primary |
Addresses
Primary practice location
101 Settlers Center Rd
Taylorsville, KY 40071-7732
Mailing address
3933 Massie Ave
Louisville, KY 40207-2730
Phone (502) 896-4266
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245226992 | Other | KY | NPI-INDIVIDUAL |
| 1065686 | Other | KY | PASSPORT |
| 85043289 | Medicaid | KY |
Other names 1
- St. Matthews Chiropractic
National Provider Directory
National Provider DirectoryLocations
3550 Frankfort Ave
Louisville, KY 40207
Phone (502) 894-3411
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Taylorsville, KY
- NPI 1245226992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194998400000",
"number": "1285754085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3933 MASSIE AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402072730",
"telephone_number": "502-896-4266"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAYLORSVILLE CHIROPRACTIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-29",
"last_updated": "2007-11-14",
"status": "A",
"authorized_official_last_name": "WADLE",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "502-477-5000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "KY4328",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI-INDIVIDUAL",
"identifier": "1245226992",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "1065686",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85043289",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St. Matthews Chiropractic",
"code": "5",
"type": "Other Name"
}
]
}
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.