Organization Active NPI

Lexington Family Chiropractic PLLC

  • Chiropractor
  • Lexington, KY
National Provider Identifier
1467784827
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4846 Issued in KY
Legal business name
LEXINGTON FAMILY CHIROPRACTIC PLLC
Practice address
131 Prosperous PL
Suite 15
Lexington, KY 40509-1853
Phone
(859) 264-1140
Fax
(859) 245-1190
NPI assigned
Feb 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Authorized official

Name
Dr. Heath Gallentine, D.C.NPI 1275662447
Title
Chiropractor/Owner
Phone
(859) 264-1140

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4846 KY Primary

Addresses

Primary practice location

131 Prosperous PL
Suite 15
Lexington, KY 40509-1853

Mailing address

131 Prosperous PL
Suite 15
Lexington, KY 40509-1853
Phone (859) 264-1140

Other identifiers 6

IdentifierTypeStateIssuer
3416485OtherKYAETNA HMO
664708OtherKYUNITED/ACN
85002970MedicaidKY
770498OtherKYAETNA
7764195OtherKYCIGNA
000000352212OtherKYANTHEM BCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100806000726 KY Part B Supplier - Clinic/Group Practice 6709919087 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, KY

National Provider Directory

National Provider Directory

Locations

131 Prosperous Pl
#15
Lexington, KY 40509

131 Prosperous Pl
Ste 15
Lexington, KY 40509
Phone (859) 264-1140

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1467784827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 PROSPEROUS PL",
            "address_2": "SUITE 15",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091853",
            "telephone_number": "859-264-1140",
            "fax_number": "859-245-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 PROSPEROUS PL",
            "address_2": "SUITE 15",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091853",
            "telephone_number": "859-264-1140",
            "fax_number": "859-245-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "GALLENTINE",
        "authorized_official_first_name": "HEATH",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "859-264-1140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3416485",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED/ACN",
            "identifier": "664708",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85002970",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "770498",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7764195",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000352212",
            "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 Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.