Jack Davis Sells, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4605 Issued in KY

Practice address

3703 Taylorsville Rd Ste 105
Louisville, KY 40220-1330

Phone

(502) 558-0099

Fax

(502) 709-5414

NPI assigned

Jun 26, 2006

Last updated

Feb 25, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  • NPI 1912052259
  NPD (past)
• Modern Chiropractic and Injury Care

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  • NPI 1467916379
  NPD (past)
• Dexter Chiropractic

  • Chiropractor
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  • NPI 1396888145
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1326075466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 TAYLORSVILLE RD STE 105",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201330",
            "telephone_number": "502-558-0099",
            "fax_number": "502-709-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 TAYLORSVILLE RD STE 105",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201330",
            "telephone_number": "502-558-0099",
            "fax_number": "502-709-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLS",
        "first_name": "JACK",
        "middle_name": "DAVIS",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Todd Selin, DDS
• Andrew Diehl Selk, DO
• Jennifer Ann Selley, M.A., CCC-SLP
• Alison Sells, MS, RD, CSO
• Carol L. Sells
• Taylor Sells
• Tesnime Selmane, SLP-CCC
• William Marshall Selvidge, M.D.
• Christopher A Semder, MD
• Max Semenick

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.