NPIMap

Organization Active NPI

Louisville Spine, Injury and Chiropractic Center, LLC

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1538348263
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4873 Issued in KY
Legal business name
LOUISVILLE SPINE, INJURY AND CHIROPRACTIC CENTER, LLC
Practice address
3934 Dixie Hwy
Ste 345
Louisville, KY 40216-4163
Phone
(502) 447-5455
Fax
(502) 447-5499
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Dr. Jarl Kleinman, D.C.
Title
Chiropractor/Director
Phone
(502) 447-5455

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 4873 KY Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 39534 KY
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 35781 KY

Addresses

Primary practice location

3934 Dixie Hwy
Ste 345
Louisville, KY 40216-4163

Mailing address

3934 Dixie Hwy
Ste 345
Louisville, KY 40216-4163
Phone (502) 447-5455

Other identifiers 1

IdentifierTypeStateIssuer
4873OtherKYCHIROPRACTIC LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1538348263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3934 DIXIE HWY",
            "address_2": "STE 345",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164163",
            "telephone_number": "502-447-5455",
            "fax_number": "502-447-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3934 DIXIE HWY",
            "address_2": "STE 345",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164163",
            "telephone_number": "502-447-5455",
            "fax_number": "502-447-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE SPINE, INJURY AND CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "KLEINMAN",
        "authorized_official_first_name": "JARL",
        "authorized_official_title_or_position": "CHIROPRACTOR/DIRECTOR",
        "authorized_official_telephone_number": "502-447-5455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4873",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "39534",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KY",
            "license": "35781",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "4873",
            "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 Oct 30, 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.

Verify at the official NPI Registry.