Organization Active NPI

Chiropractic Health Center of Lebanon PLLC

Doing business as Chiropractic Health Center

  • Chiropractor
  • Lebanon, KY
National Provider Identifier
1386706331
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROPRACTIC HEALTH CENTER OF LEBANON PLLC
Doing business as
Chiropractic Health Center
Practice address
308 N Depot St
Lebanon, KY 40033-1422
Phone
(270) 692-2652
Fax
(270) 692-6099
NPI assigned
Dec 15, 2006
Last updated
Oct 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Authorized official

Name
Tosha McCormack
Title
Compliance Officer
Phone
(859) 408-5440

Specialties & licenses 1

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

Addresses

Primary practice location

308 N Depot St
Lebanon, KY 40033-1422

Mailing address

308 N Depot St
Lebanon, KY 40033-1422
Phone (270) 692-2652

Other practice location 1

303 W. Walnut Street
Lebanon, KY 40033
Phone (270) 692-2652

Other names 1

  • Chiropractic Health Center Doing business as

National Provider Directory

National Provider Directory

Locations

308 N Depot St
Lebanon, KY 40033
Phone (270) 692-2652

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": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1386706331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N DEPOT ST",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331422",
            "telephone_number": "270-692-2652",
            "fax_number": "270-692-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N DEPOT ST",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331422",
            "telephone_number": "270-692-2652",
            "fax_number": "270-692-6099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 W. Walnut Street",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "KY",
            "postal_code": "40033",
            "country_code": "US",
            "telephone_number": "270-692-2652",
            "fax_number": "270-692-6099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTH CENTER OF LEBANON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "MCCORMACK",
        "authorized_official_first_name": "TOSHA",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "859-408-5440"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chiropractic Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.