Versailles Chiropractic PSC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2007 Issued in KY

Legal business name

VERSAILLES CHIROPRACTIC PSC

Practice address

260 Crossfield Dr Unit 2
Versailles, KY 40383-1596

Phone

(859) 879-0024

Fax

(859) 879-1102

NPI assigned

Jul 6, 2007

Last updated

Nov 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott Michael Gladdis, D.C.NPI 1790997971

Title

President

Phone

(859) 879-0024

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 4

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.

• Scott Michael Gladdis, D.C.

  • Chiropractor
  • Versailles, KY
  • NPI 1790997971
  Medicare reassignment NPD Authorized official
• Gabriela Diaz

  • Massage Therapist
  • Versailles, KY
  • NPI 1356738652
  NPD (past)
• Jessica Marie Rucker

  • Massage Therapist
  • Versailles, KY
  • NPI 1710259932
  NPD (past)
• Rebecca Louise White, LMT

  • Massage Therapist
  • Versailles, KY
  • NPI 1083026413
  NPD (past)

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1285832758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 CROSSFIELD DR UNIT 2",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831596",
            "telephone_number": "859-879-0024",
            "fax_number": "859-879-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 CROSSFIELD DR UNIT 2",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831596",
            "telephone_number": "859-879-0024",
            "fax_number": "859-879-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERSAILLES CHIROPRACTIC PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "GLADDIS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-879-0024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "2007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urologic Associates Versailles
• Michelle Grace Urquhart, APRN
• Cheyenne Van Dyke, RN BSN
• Gabrielle Kendra Van Scoy, PT, DPT
• Vannd LLC
• Versailles Family Dre PLLC
• Versailles Family Medicine, PLLC
• Versailles Independent Pharmacy, Inc. (Versailles Independent Pharmacy)
• Versailles Internal Medicine, PLC
• Douglas E Vick, DO

• Chiropractor in Versailles, KY
• Providers in Versailles, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.