NPIMap

Organization Active NPI

West Market Street Chiropractors

Doing business as Family Care Chiropractic

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1366577520
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4519 Issued in KY
Legal business name
WEST MARKET STREET CHIROPRACTORS
Doing business as
Family Care Chiropractic
Practice address
2306 W Market St
Louisville, KY 40212-1537
Phone
(502) 775-6440
Fax
(502) 775-6985
NPI assigned
Feb 21, 2007
Last updated
Dec 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Authorized official

Name
Dr. Robert Hugh Black, D.C.NPI 1073614491
Title
Owner
Phone
(502) 775-6440

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 4519 KY Primary

Addresses

Primary practice location

2306 W Market St
Louisville, KY 40212-1537

Mailing address

2306 W Market St
Louisville, KY 40212-1537
Phone (502) 775-6440

Other identifiers 3

IdentifierTypeStateIssuer
85002293MedicaidKY
1170493MedicaidKY
000000226876OtherKYANTHEM

Other names 1

  • Family Care Chiropractic Doing business as

National Provider Directory

National Provider Directory

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1366577520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 W MARKET ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402121537",
            "telephone_number": "502-775-6440",
            "fax_number": "502-775-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 W MARKET ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402121537",
            "telephone_number": "502-775-6440",
            "fax_number": "502-775-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MARKET STREET CHIROPRACTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "HUGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-775-6440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85002293",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1170493",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000226876",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Care Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 10, 2009; 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.