Active NPI
Kyle Andrew Pelphrey, D.C.
- Chiropractor
- Lexington, KY
National Provider Identifier
1487990610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5373
- Practice address
- 616 Wellington Way
Suite a
Lexington, KY 40503-2734 - Phone
- (859) 296-4889
- Fax
- (859) 296-1628
- NPI assigned
- Dec 16, 2012
- Last updated
- Apr 8, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5373 | KY | Primary |
Addresses
Primary practice location
616 Wellington Way
Suite a
Lexington, KY 40503-2734
Mailing address
616 Wellington Way
Suite a
Lexington, KY 40503-2734
Phone (859) 296-4889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130816000698 | KY | Practitioner - Chiropractic | 8921240169 | Practice locations: Lexington, KY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
616 Wellington Way
Suite a
Lexington, KY 40503-2734
Phone (859) 296-4889
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pelphrey Chiropractic, PLLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Lexington, KY
- NPI 1659714723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365379200000",
"number": "1487990610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 WELLINGTON WAY",
"address_2": "SUITE A",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405032734",
"telephone_number": "859-296-4889",
"fax_number": "859-296-1628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 WELLINGTON WAY",
"address_2": "SUITE A",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405032734",
"telephone_number": "859-296-4889",
"fax_number": "859-296-1628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELPHREY",
"first_name": "KYLE",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-16",
"last_updated": "2013-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "5373",
"primary": true
}
],
"identifiers": [],
"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 Apr 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.