Modern Chiropractic and Injury Care

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MODERN CHIROPRACTIC AND INJURY CARE

Practice address

11106 Decimal Dr
Louisville, KY 40299-2440

Phone

(502) 554-3800

Fax

(502) 614-6148

NPI assigned

Jan 24, 2019

Organization subpart

No

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

Authorized official

Name

Michael Craig NormanNPI 1972541985

Title

Practice Manager

Phone

(502) 554-3800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 2

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

• Michael Craig Norman, D.C.

  • Chiropractor
  • Louisville, KY
  • NPI 1972541985
  Medicare reassignment NPD Authorized official
• Jack Davis Sells, DC

  • Chiropractor
  • Louisville, KY
  • NPI 1326075466
  NPD (past)

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1467916379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11106 DECIMAL DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992440",
            "telephone_number": "502-554-3800",
            "fax_number": "502-614-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11106 DECIMAL DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992440",
            "telephone_number": "502-554-3800",
            "fax_number": "502-614-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN CHIROPRACTIC AND INJURY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "502-554-3800"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100584900",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ryan Edward Modlinski, M.D.
• Debra S Modrowski, PT

• All providers in Louisville, KY
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.