Organization Active NPI

Covington Chiropractic & Rehab Center

  • Chiropractor
  • Covington, KY
National Provider Identifier
1508098062
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4110 Issued in KY
Legal business name
COVINGTON CHIROPRACTIC & REHAB CENTER
Practice address
200 W Pike St
Covington, KY 41011-2370
Phone
(859) 360-6488
Fax
(859) 360-6264
NPI assigned
Aug 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Authorized official

Name
Dr. Brian W Johnson, D.C.
Title
Owner
Phone
(859) 360-6488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4110 KY Primary

Addresses

Primary practice location

200 W Pike St
Covington, KY 41011-2370

Mailing address

200 W Pike St
Covington, KY 41011-2370
Phone (859) 360-6488

National Provider Directory

National Provider Directory

Locations

200 W Pike St
Covington, KY 41011
Phone (859) 360-6488

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1508098062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W PIKE ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410112370",
            "telephone_number": "859-360-6488",
            "fax_number": "859-360-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W PIKE ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410112370",
            "telephone_number": "859-360-6488",
            "fax_number": "859-360-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVINGTON CHIROPRACTIC & REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-360-6488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.