Total Care Chiropractic

Organization Active NPI Chiropractor · Alexandria, KY

NPI 1396973475 · NPPES record last updated Mar 16, 2012

Key facts

NPI
1396973475
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
License
4289 (KY)
Legal business name
TOTAL CARE CHIROPRACTIC
Practice address
1035 Moreland Rd Ste 1
Alexandria, KY 41001-8640
Phone
(859) 448-0858
Fax
(859) 448-0957
NPI assigned
Jun 26, 2009
Organization subpart
No

Authorized official

Name
Dr. Kendall R. Gearhart, DC NPI 1174569073
Title
Owner / Chiropractor
Phone
(859) 448-0858

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20120419000326 KY Part B Supplier - Clinic/Group Practice 3173679719 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, KY

National Provider Directory

Locations

1035 Moreland Rd
Ste 1
Alexandria, KY 41001
Phone (859) 448-0858

4600 Smith Rd
Ste 2
Cincinnati, OH 45212
Phone (513) 351-9494

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X 4289 KY Yes

Addresses

Primary practice location

1035 Moreland Rd Ste 1
Alexandria, KY 41001-8640

Mailing address

1035 Moreland Rd
Alexandria, KY 41001-7566
Phone (859) 448-0858

Other identifiers

IdentifierTypeStateIssuer
85001600MedicaidKY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 16, 2012.

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1396973475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 MORELAND RD",
            "city": "ALEXANDRIA",
            "state": "KY",
            "postal_code": "410017566",
            "telephone_number": "859-448-0858",
            "fax_number": "859-448-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 MORELAND RD STE 1",
            "city": "ALEXANDRIA",
            "state": "KY",
            "postal_code": "410018640",
            "telephone_number": "859-448-0858",
            "fax_number": "859-448-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CARE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-26",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "GEARHART",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER / CHIROPRACTOR",
        "authorized_official_telephone_number": "859-448-0858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85001600",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, KY

All providers in Alexandria, KY · Chiropractor in Kentucky

Sources for this page

Verify at the official NPI Registry.