Organization Active NPI

Eastland Chiropractic PSC

  • Chiropractor
  • Lexington, KY
National Provider Identifier
1376663773
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4907 Issued in KY
Legal business name
EASTLAND CHIROPRACTIC PSC
Practice address
2305 Woodhill Dr
Lexington, KY 40509-1023
Phone
(859) 255-3777
Fax
(859) 255-3967
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Authorized official

Name
Miss Luci Horn
Title
Office Manager
Phone
(859) 255-3777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4907 KY Primary

Addresses

Primary practice location

2305 Woodhill Dr
Lexington, KY 40509-1023

Mailing address

2305 Woodhill Dr
Lexington, KY 40509-1023
Phone (859) 255-3777

Other identifiers 3

IdentifierTypeStateIssuer
000000369118OtherKYANTHEM PROVIDER ID
85003457MedicaidKY
CHAOtherKY1221614

Other names 1

  • Dawson Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

2305 Woodhill Dr
Lexington, KY 40509
Phone (859) 255-3777

1301 Winchester Rd
Ste 149
Lexington, KY 40505
Phone (859) 255-3777

Practitioners & affiliated clinicians

Practitioners 4

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1376663773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 WOODHILL DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091023",
            "telephone_number": "859-255-3777",
            "fax_number": "859-255-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 WOODHILL DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091023",
            "telephone_number": "859-255-3777",
            "fax_number": "859-255-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTLAND CHIROPRACTIC PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "LUCI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "859-255-3777",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER ID",
            "identifier": "000000369118",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85003457",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1221614",
            "identifier": "CHA",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dawson Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.