Organization Active NPI

Burnside Chiropractic

  • Chiropractor
  • Burnside, KY
National Provider Identifier
1427204205
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4652 Issued in KY
Legal business name
BURNSIDE CHIROPRACTIC
Practice address
8034 S Highway 27
Burnside, KY 42519-9717
Phone
(606) 561-4357
Fax
(775) 521-2427
NPI assigned
Aug 13, 2008
Last updated
Nov 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

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

Authorized official

Name
Dr. Lewis Martin Misinay, D.C.NPI 1255462727
Title
Doctor/Owner
Phone
(606) 561-4357

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 4652 KY Primary

Addresses

Primary practice location

8034 S Highway 27
Burnside, KY 42519-9717

Mailing address

8034 S Highway 27
P.O. Box 178
Burnside, KY 42519-9717
Phone (606) 561-4357

Other identifiers 2

IdentifierTypeStateIssuer
227116OtherKYANTHEM
85002004MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080819000934 KY Part B Supplier - Clinic/Group Practice 7618042094 Receives reassigned benefits from 1 practitioner
Practice locations: Burnside, KY

National Provider Directory

National Provider Directory

Locations

8034 S Highway 27
Burnside, KY 42519
Phone (606) 561-4357

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": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1427204205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8034 S HIGHWAY 27",
            "address_2": "P.O. BOX 178",
            "city": "BURNSIDE",
            "state": "KY",
            "postal_code": "425199717",
            "telephone_number": "606-561-4357",
            "fax_number": "775-521-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8034 S HIGHWAY 27",
            "city": "BURNSIDE",
            "state": "KY",
            "postal_code": "425199717",
            "telephone_number": "606-561-4357",
            "fax_number": "775-521-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNSIDE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "MISINAY",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "606-561-4357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "227116",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85002004",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnside, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.