Embry Chiropractic Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4581 Issued in KY

Legal business name

EMBRY CHIROPRACTIC CENTER INC

Practice address

1211 N Main St
Beaver Dam, KY 42320-8955

Phone

(270) 274-0888

Fax

(270) 274-0890

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eddie Lee Embry, DCNPI 1285709758

Title

Chiropractor Owner President

Phone

(270) 274-0888

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.

• Eddie L. Embry, D.C.

  • Chiropractor
  • Beaver Dam, KY
  • NPI 1285709758
  Medicare reassignment NPD Authorized official
• Kimberly J Bivens, L.M.T.

  • Specialist
  • Beaver Dam, KY
  • NPI 1841476678
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1487796793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N MAIN ST",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423208955",
            "telephone_number": "270-274-0888",
            "fax_number": "270-274-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N MAIN ST",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423208955",
            "telephone_number": "270-274-0888",
            "fax_number": "270-274-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRY CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "EMBRY",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHIROPRACTOR OWNER PRESIDENT",
        "authorized_official_telephone_number": "270-274-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85900488",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura L Daugherty
• Michael Foster Desmond, PHARMD
• Kimberly M Devore, DO
• Donald Kevin Gregory MD, PSC
• Tate Downing
• Ashten Whitni Embry, APRN
• Eddie L. Embry, D.C.
• Joan Elizabeth Embry, LPCA
• Excel Anesthesia PSC
• Mhroos Faik Barak Peters, M.D.

• All providers in Beaver Dam, KY
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.