Lynn-Gail PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4867 Issued in KY

Legal business name

LYNN-GAIL PLLC

Doing business as

Shivley Chiropractic

Practice address

4123 Taylor Blvd
Louisville, KY 40215-2341

Phone

(502) 363-7172

Fax

(502) 363-7174

NPI assigned

Jun 7, 2007

Last updated

Sep 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dawn Wietfeldt, DCNPI 1235204744

Title

President

Phone

(502) 647-4600

Specialties & licenses 1

Addresses

Other names 1

• Shivley Chiropractic Doing business as

Locations

Practitioners 1

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.

• Dawn Wietfeldt, DC

  • Chiropractor
  • Louisville, KY
  • NPI 1235204744
  Authorized official Same address or phone

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1457554503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 STONECREST CT",
            "address_2": "SUITE 140",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658155",
            "telephone_number": "502-647-4600",
            "fax_number": "502-647-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 TAYLOR BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402152341",
            "telephone_number": "502-363-7172",
            "fax_number": "502-363-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN-GAIL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "WIETFELDT",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-647-4600",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shivley Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lyndon Crossing, LLC (Lyndon Crossing)
• Lyndon Woods Care & Rehab, LLC
• Carlos Lynes
• Jill Lynes, DPT
• Lynn Family Vision and Training LLC (Lynn Family Sports Vision & Training, LLC)
• Conner Wayne Lynn
• Erin Lynn
• Haley Brooke Lynn, RBT
• Joshua Lynn
• Mark Edward Lynn, OD

• Chiropractor in Louisville, KY
• Providers in Louisville, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.