Individual provider Active NPI

Justin E Page, DC

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1487817888
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5132 Issued in KY
Practice address
2304 Hurstbourne Village Dr Ste 100
Louisville, KY 40299-1856
Phone
(502) 493-2400
Fax
(502) 493-5050
NPI assigned
Jul 7, 2008
Last updated
Jan 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5132 KY Primary

Addresses

Primary practice location

2304 Hurstbourne Village Dr Ste 100
Louisville, KY 40299-1856

Mailing address

2304 Hurstbourne Village Dr Ste 100
Louisville, KY 40299-1856
Phone (502) 493-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5132KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
JL Chiropractic, P.S.C. Chiropractor Past Accepting new patients
Everwell Chiropractic Chiropractor Past Accepting new patients
D.R. Thomas V. Jacques D.C., PSC Chiropractor PastSince Dec 30, 2019 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1487817888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 HURSTBOURNE VILLAGE DR STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991856",
            "telephone_number": "502-493-2400",
            "fax_number": "502-493-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 HURSTBOURNE VILLAGE DR STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991856",
            "telephone_number": "502-493-2400",
            "fax_number": "502-493-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "JUSTIN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.