Organization Active NPI

Chadwick Management PSC

Doing business as Integrity Chiropractic of Mt. Sterling

  • Chiropractor
  • Mt Sterling, KY
National Provider Identifier
1427416890
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHADWICK MANAGEMENT PSC
Doing business as
Integrity Chiropractic of Mt. Sterling
Practice address
113 Maloney Way
Mt Sterling, KY 40353-9553
Phone
(859) 576-4432
Fax
(859) 305-1639
NPI assigned
Feb 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Dr. Marvin Chadwick Faulkner, D.C.NPI 1013908722
Title
Doctor
Phone
(859) 576-4432

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

113 Maloney Way
Mt Sterling, KY 40353-9553

Mailing address

113 Maloney Way
Mt Sterling, KY 40353-9553
Phone (859) 576-4432

Other practice location 1

815 Quisenberry Ln
Winchester, KY 40391-8278
Phone (859) 762-0009

Other identifiers 1

IdentifierTypeStateIssuer
7100609430MedicaidKY

Other names 1

  • Integrity Chiropractic of Mt. Sterling Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160321001529 KY Part B Supplier - Clinic/Group Practice 7911204847 Receives reassigned benefits from 2 practitioners
Practice locations: Mt Sterling, KY

National Provider Directory

National Provider Directory

Locations

220 Windsor Dr
Ste C
Mt Sterling, KY 40353
Phone (859) 576-4432

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1427416890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 MALONEY WAY",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403539553",
            "telephone_number": "859-576-4432",
            "fax_number": "859-305-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MALONEY WAY",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403539553",
            "telephone_number": "859-576-4432",
            "fax_number": "859-305-1639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 Quisenberry Ln",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "KY",
            "postal_code": "403918278",
            "country_code": "US",
            "telephone_number": "859-762-0009",
            "fax_number": "859-305-1639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHADWICK MANAGEMENT PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "FAULKNER",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "CHADWICK",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "859-576-4432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100609430",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrity Chiropractic of Mt. Sterling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Sterling, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.