Organization Active NPI

Westside Family Chiropractic and Rehabilitation PSC

  • Chiropractor
  • Frankfort, KY
National Provider Identifier
1598039646
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WESTSIDE FAMILY CHIROPRACTIC AND REHABILITATION PSC
Practice address
1100 US Highway 127 S
Building C. Suite 1
Frankfort, KY 40601-4318
Phone
(502) 581-9700
NPI assigned
Mar 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Authorized official

Name
Dr. Matthew Scott Moore, D.C.NPI 1962783753
Title
Chiropractor
Phone
(770) 876-1090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1100 US Highway 127 S
Building C. Suite 1
Frankfort, KY 40601-4318

Mailing address

1100 US Highway 127 S
Building C. Suite 1
Frankfort, KY 40601-4318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120927000453 KY Part B Supplier - Clinic/Group Practice 2860641313 Receives reassigned benefits from 1 practitioner
Practice locations: Frankfort, KY

National Provider Directory

National Provider Directory

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": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1598039646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 US HIGHWAY 127 S",
            "address_2": "BUILDING C. SUITE 1",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406014318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 US HIGHWAY 127 S",
            "address_2": "BUILDING C. SUITE 1",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406014318",
            "telephone_number": "502-581-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE FAMILY CHIROPRACTIC AND REHABILITATION PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "770-876-1090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.