Organization Active NPI

SB Chiropractic, PSC

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1447506977
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4507 Issued in KY
Legal business name
SB CHIROPRACTIC, PSC
Doing business as
East Broadway Chiropractic & Rehabilitation
Practice address
418 E Broadway
Louisville, KY 40202-1706
Phone
(502) 681-6800
Fax
(502) 681-6868
NPI assigned
Aug 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Authorized official

Name
Dr. Scott Gittings, D.C.
Title
Chiropractor
Phone
(502) 681-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 4507 KY Primary

Addresses

Primary practice location

418 E Broadway
Louisville, KY 40202-1706

Mailing address

418 E Broadway
Louisville, KY 40202-1706
Phone (502) 681-6800

Other identifiers 2

IdentifierTypeStateIssuer
85002673MedicaidKY
7100293440MedicaidKY

Other names 1

  • East Broadway Chiropractic & Rehabilitation Doing business as

National Provider Directory

National Provider Directory

Locations

418 E Broadway
Louisville, KY 40202
Phone (502) 681-6800

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1447506977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 E BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021706",
            "telephone_number": "502-681-6800",
            "fax_number": "502-681-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 E BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021706",
            "telephone_number": "502-681-6800",
            "fax_number": "502-681-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SB CHIROPRACTIC, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "GITTINGS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "502-681-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85002673",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100293440",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Broadway Chiropractic & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.