Organization Active NPI

Valley Station Chiropractic & Rehab,PLLC

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1316280688
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4228 Issued in KY
Legal business name
VALLEY STATION CHIROPRACTIC & REHAB,PLLC
Practice address
10400 Dixie Hwy Ste 101
Louisville, KY 40272-5913
Phone
(502) 933-2005
Fax
(502) 933-2074
NPI assigned
Apr 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Authorized official

Name
Michael Grass, DC
Title
Owner
Phone
(502) 933-2005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4228 KY Primary

Addresses

Primary practice location

10400 Dixie Hwy Ste 101
Louisville, KY 40272-5913

Mailing address

10400 Dixie Hwy Ste 101
Louisville, KY 40272-5913
Phone (502) 933-2005

Other identifiers 1

IdentifierTypeStateIssuer
8503666300MedicaidKY

National Provider Directory

National Provider Directory

Locations

5006 Stephan Dr
Ste B
Louisville, KY 40258
Phone (502) 933-2005

10400 Dixie Hwy
Ste 101
Louisville, KY 40272
Phone (502) 933-2005

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1316280688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 DIXIE HWY STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402725913",
            "telephone_number": "502-933-2005",
            "fax_number": "502-933-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 DIXIE HWY STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402725913",
            "telephone_number": "502-933-2005",
            "fax_number": "502-933-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY STATION CHIROPRACTIC & REHAB,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "GRASS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-933-2005",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8503666300",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.