Individual provider Active NPI

Jeremy Dean Storms, D.C.

  • Chiropractor
  • Florence, KY
National Provider Identifier
1376697532
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4399 Issued in KY
Practice address
51 Cavalier Blvd
Suite 230
Florence, KY 41042-3966
Phone
(859) 620-1325
Fax
(859) 586-5109
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4399 KY Primary

Addresses

Primary practice location

51 Cavalier Blvd
Suite 230
Florence, KY 41042-3966

Mailing address

51 Cavalier Blvd
Suite 230
Florence, KY 41042-3966
Phone (859) 620-1325

Other identifiers 1

IdentifierTypeStateIssuer
4399OtherKYSTATE LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Virginia Dermatology CurrentSince Jun 1, 2019 Accepting new patients
Symphony Diagnostic Services No 1 LLC Past Accepting new patients
Core Health Centers of Florence LLC Chiropractor PastSince Apr 2, 2019 Accepting new patients

Locations

2203 Graves Mill Rd
Ste A
Forest, VA 24551
Phone (434) 385-1982

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1376697532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 CAVALIER BLVD",
            "address_2": "SUITE 230",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410423966",
            "telephone_number": "859-620-1325",
            "fax_number": "859-586-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 CAVALIER BLVD",
            "address_2": "SUITE 230",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410423966",
            "telephone_number": "859-620-1325",
            "fax_number": "859-586-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORMS",
        "first_name": "JEREMY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "4399",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.