Active NPI
Ken Chillson, DC
- Chiropractor
- Louisville, KY
National Provider Identifier
1528126208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4873
- Practice address
- 6013 Preston Hwy
Louisville, KY 40219-1317 - Phone
- (502) 964-6909
- Fax
- (502) 671-8621
- NPI assigned
- Dec 5, 2006
- 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 | 4873 | KY | Primary |
Addresses
Primary practice location
6013 Preston Hwy
Louisville, KY 40219-1317
Mailing address
6013 Preston Hwy
Louisville, KY 40219-1317
Phone (502) 964-6909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000393348 | Other | KY | ANTHEM |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4873 | KY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528126208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6013 PRESTON HWY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402191317",
"telephone_number": "502-964-6909",
"fax_number": "502-671-8621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6013 PRESTON HWY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402191317",
"telephone_number": "502-964-6909",
"fax_number": "502-671-8621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILLSON",
"first_name": "KEN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4873",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000393348",
"state": "KY"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.