Active NPI
Cherry Blossom Chiropractic, LLC
- Chiropractor
- Lexington, KY
National Provider Identifier
1437580115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10804944 | Other | KY | CAQH |
National Provider Directory
National Provider DirectoryLocations
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.