Individual provider Active NPI

Kyle Andrew Pelphrey, D.C.

  • Chiropractor
  • Lexington, KY
National Provider Identifier
1487990610
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5373 Issued in KY
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Pelphrey Chiropractic, PLLC Chiropractor PastSince Aug 8, 2013 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.

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.

Verify at the official NPI Registry.