Organization Active NPI

TRG Investments LLC

Doing business as Western Kentucky Chiropractic Center

  • Chiropractor
  • Bowling Green, KY
National Provider Identifier
1588805733
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4813 Issued in KY
Legal business name
TRG INVESTMENTS LLC
Doing business as
Western Kentucky Chiropractic Center
Practice address
1256 Campbell LN
Suite 103
Bowling Green, KY 42104-1082
Phone
(270) 904-3499
Fax
(270) 904-3472
NPI assigned
Mar 18, 2009
Last updated
Mar 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Authorized official

Name
Mrs. Christina Varona Ratusny
Title
Office Manager
Phone
(270) 904-3499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4813 KY Primary

Addresses

Primary practice location

1256 Campbell LN
Suite 103
Bowling Green, KY 42104-1082

Mailing address

1256 Campbell LN
Suite 103
Bowling Green, KY 42104-1082
Phone (270) 904-3499

Other identifiers 4

IdentifierTypeStateIssuer
6103101OtherKYMEDICARE INDIVIDUAL
8889OtherKYMEDICARE GROUP
000000390128OtherKYANTHEM BLUE CROSS BLUE SHIELD
85002806MedicaidKY

Other names 1

  • Western Kentucky Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

1256 Campbell Ln
Ste 103
Bowling Green, KY 42104
Phone (270) 904-3499

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1588805733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1256 CAMPBELL LN",
            "address_2": "SUITE 103",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421041082",
            "telephone_number": "270-904-3499",
            "fax_number": "270-904-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 CAMPBELL LN",
            "address_2": "SUITE 103",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421041082",
            "telephone_number": "270-904-3499",
            "fax_number": "270-904-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRG INVESTMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "RATUSNY",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "VARONA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-904-3499",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL",
            "identifier": "6103101",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "8889",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "000000390128",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85002806",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Kentucky Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

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