Active NPI
Susan Marie Gore, DC
- Chiropractor
- Lexington, KY
National Provider Identifier
1518515923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5506
- Practice address
- 3167 Custer Dr Ste 202
Lexington, KY 40517-4018 - Phone
- (859) 271-2285
- NPI assigned
- Aug 28, 2019
- Sex
- Female
- 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 | 5506 | KY | Primary |
Addresses
Primary practice location
3167 Custer Dr Ste 202
Lexington, KY 40517-4018
Mailing address
3167 Custer Dr Ste 202
Lexington, KY 40517-4018
Phone (859) 271-2285
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3167 Custer Dr
Suite 202
Lexington, KY 40517-4018
Phone (859) 271-2285
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gore Net Enterprise, LLC | Chiropractor | Current | Accepting new patients |
Locations
3167 Custer Dr
Ste 202
Lexington, KY 40517
Phone (859) 271-2285
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1518515923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3167 CUSTER DR STE 202",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405174018",
"telephone_number": "859-271-2285",
"fax_number": "859-273-0174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3167 CUSTER DR STE 202",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405174018",
"telephone_number": "859-271-2285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORE",
"first_name": "SUSAN",
"middle_name": "MARIE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-28",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "5506",
"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 May 11, 2023; 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.