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
- Title
- Owner / Chiropractor
- Phone
- (859) 448-0858
Practitioners 5
-
Cynthia E Lewis, P.T.
-
Jason L Privett, P.T.
-
David Alan Terry, DC
-
Michael G. Turkov, P.T.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85001600 | Medicaid | KY |
NPI Registry JSON
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.