Organization Active NPI

Cherry Blossom Chiropractic, LLC

  • Chiropractor
  • Lexington, KY
National Provider Identifier
1437580115
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHERRY BLOSSOM CHIROPRACTIC, LLC
Practice address
1412 N Broadway
Suite 26
Lexington, KY 40505-3157
Phone
(859) 543-0252
Fax
(859) 543-0698
NPI assigned
Dec 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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

Authorized official

Name
Dr. James T McMonigle, DC
Title
Physician/Co-Owner
Phone
(502) 868-6090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1412 N Broadway
Suite 26
Lexington, KY 40505-3157

Mailing address

104 Lawson Dr
Suite 107
Georgetown, KY 40324-8998
Phone (502) 898-6090

Other identifiers 1

IdentifierTypeStateIssuer
10804944OtherKYCAQH

National Provider Directory

National Provider Directory

Locations

1412 N Broadway
Ste 26
Lexington, KY 40505
Phone (859) 543-0252

NPI Registry JSON

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1437580115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 LAWSON DR",
            "address_2": "SUITE 107",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248998",
            "telephone_number": "502-898-6090",
            "fax_number": "859-543-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 N BROADWAY",
            "address_2": "SUITE 26",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405053157",
            "telephone_number": "859-543-0252",
            "fax_number": "859-543-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY BLOSSOM CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "MCMONIGLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN/CO-OWNER",
        "authorized_official_telephone_number": "502-868-6090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10804944",
            "state": "KY"
        }
    ],
    "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 Dec 6, 2013; 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.