Individual provider Active NPI

Kevin Ellis, DC

  • Chiropractor
  • Franklin, KY
National Provider Identifier
1336987635
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
293670 Issued in KY
Practice address
208 S Main St Ste 120
Franklin, KY 42134-2116
Phone
(270) 806-0023
NPI assigned
Jul 19, 2024
Last updated
Jul 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 293670 KY Primary

Addresses

Primary practice location

208 S Main St Ste 120
Franklin, KY 42134-2116

Mailing address

352 Old Gallatin Rd
Scottsville, KY 42164-8666
Phone (270) 237-3304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240910000696 KY Practitioner - Chiropractic 8123568763 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Stop Franklin, PLLC Chiropractor CurrentSince Jul 19, 2024 Accepting new patients

Locations

208 S Main St
Franklin, KY 42134
Phone (270) 781-6477

208 S Main St
Ste 120
Franklin, KY 42134
Phone (270) 806-0023

352 Old Gallatin Rd
Scottsville, KY 42164
Phone (270) 239-2225

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1336987635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 OLD GALLATIN RD",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421648666",
            "telephone_number": "270-237-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 S MAIN ST STE 120",
            "city": "FRANKLIN",
            "state": "KY",
            "postal_code": "421342116",
            "telephone_number": "270-806-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "293670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.