Organization Active NPI

Advanced Chiropractic Center, PLLC

Doing business as Hackney & Hensley Chiropractic Center

  • Chiropractor
  • Pikeville, KY
National Provider Identifier
1457416646
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ADVANCED CHIROPRACTIC CENTER, PLLC
Doing business as
Hackney & Hensley Chiropractic Center
Practice address
153 Weddington Branch Rd
Pikeville, KY 41501-3204
Phone
(606) 432-2225
Fax
(606) 432-0966
NPI assigned
Dec 27, 2006
Last updated
Sep 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Dr. Gregory Ted Hackney, D.C.NPI 1588732051
Title
Principle
Phone
(606) 432-2225

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 Primary

Addresses

Primary practice location

153 Weddington Branch Rd
Pikeville, KY 41501-3204

Mailing address

153 Weddington Branch Rd
Pikeville, KY 41501-3204
Phone (606) 432-2225

Other identifiers 2

IdentifierTypeStateIssuer
85900306MedicaidKY
7126OtherKYMEDICARE GROUP NUMBERRR

Other names 1

  • Hackney & Hensley Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031113000190 KY Part B Supplier - Clinic/Group Practice 3779497938 Receives reassigned benefits from 2 practitioners
Practice locations: Pikeville, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2214307Advanced Chiropractic Center, PLLC153 Weddington Branch Road, Pikeville, KY 41501Certificate of waiverFeb 21, 2027

National Provider Directory

National Provider Directory

Locations

153 Weddington Branch Rd
Pikeville, KY 41501
Phone (606) 432-2225

Practitioners & affiliated clinicians

Practitioners 4

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": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1457416646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 WEDDINGTON BRANCH RD",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013204",
            "telephone_number": "606-432-2225",
            "fax_number": "606-432-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 WEDDINGTON BRANCH RD",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013204",
            "telephone_number": "606-432-2225",
            "fax_number": "606-432-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "HACKNEY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "TED",
        "authorized_official_title_or_position": "PRINCIPLE",
        "authorized_official_telephone_number": "606-432-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85900306",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBERRR",
            "identifier": "7126",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hackney & Hensley Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.