Organization Active NPI

Millpond Family Chiropractic

  • Chiropractor
  • Lexington, KY
National Provider Identifier
1396016085
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5317 Issued in KY
Legal business name
MILLPOND FAMILY CHIROPRACTIC
Practice address
3650 Boston Rd
Suite E
Lexington, KY 40514-1569
Phone
(925) 487-0253
NPI assigned
Jan 26, 2012
Last updated
Jan 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Authorized official

Name
Shannon Pearce, D.C.NPI 1063782613
Title
Owner
Phone
(925) 487-0253

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 5317 KY Primary

Addresses

Primary practice location

3650 Boston Rd
Suite E
Lexington, KY 40514-1569

Mailing address

3650 Boston Rd
Suite E
Lexington, KY 40514-1569
Phone (925) 487-0253

National Provider Directory

National Provider Directory

Locations

3650 Boston Rd
Ste E
Lexington, KY 40514
Phone (859) 219-0617

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": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1396016085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 BOSTON RD",
            "address_2": "SUITE E",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405141569",
            "telephone_number": "925-487-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 BOSTON RD",
            "address_2": "SUITE E",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405141569",
            "telephone_number": "925-487-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLPOND FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "PEARCE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-487-0253",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 26, 2012; 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.