Active NPI
Paducah Chiropractic Center, PSC
- Chiropractor
- Paducah, KY
National Provider Identifier
1477985000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- PADUCAH CHIROPRACTIC CENTER, PSC
- Practice address
- 657 Lone Oak Rd Ste 6
Paducah, KY 42003-4547 - Phone
- (270) 442-4054
- NPI assigned
- Aug 6, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rodney L Sparks, DC
- Title
- President
- Phone
- (270) 442-4054
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
657 Lone Oak Rd Ste 6
Paducah, KY 42003-4547
Mailing address
657 Lone Oak Rd Ste 6
Paducah, KY 42003-4547
Phone (270) 442-4054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130812000871 | KY | Part B Supplier - Clinic/Group Practice | 2961644414 |
Receives reassigned benefits from 3 practitioners Practice locations: Paducah, KY |
National Provider Directory
National Provider DirectoryLocations
657 Lone Oak Rd
Ste 6
Paducah, KY 42003
Phone (270) 442-4054
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Paducah, KY
- NPI 1316098601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375747200000",
"number": "1477985000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "657 LONE OAK RD STE 6",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420034547",
"telephone_number": "270-442-4054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "657 LONE OAK RD STE 6",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420034547",
"telephone_number": "270-442-4054"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PADUCAH CHIROPRACTIC CENTER, PSC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-06",
"last_updated": "2013-08-06",
"status": "A",
"authorized_official_last_name": "SPARKS",
"authorized_official_first_name": "RODNEY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "270-442-4054",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
- Janet L Owens, LPN
- Janine Owens, PT,DPT
- Mark L Owens, O.D.
- Paducah Area Physicisns, Inc
- Paducah Center for Health and Rehabilitation, LLC
- Paducah Dermatology PLLC
- Paducah Dermatology Surgery Center PLLC
- Paducah Gastroenterology Associates, PSC
- Paducah Gastroenterology Associates, PSC
- Paducah Health Facilities LP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.