Organization Active NPI

Taylorsville Chiropractic, Inc

  • Chiropractor
  • Taylorsville, KY
National Provider Identifier
1285754085
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
KY4328 Issued in KY
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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.NPI 1245226992
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1245226992OtherKYNPI-INDIVIDUAL
1065686OtherKYPASSPORT
85043289MedicaidKY

Other names 1

  • St. Matthews Chiropractic Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.