Organization Active NPI

Synergy Chiropractic, Inc

  • Chiropractor
  • Highland Heights, KY
National Provider Identifier
1609020635
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5137 Issued in KY
Legal business name
SYNERGY CHIROPRACTIC, INC
Practice address
1412 Gloria Terrell Dr Ste 4
Highland Heights, KY 41076-9102
Phone
(859) 442-0999
NPI assigned
Nov 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Dr. Aaron W Ornburn, DCNPI 1649395658
Title
Part Owner
Phone
(859) 442-0999

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 5137 KY Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 5136 KY

Addresses

Primary practice location

1412 Gloria Terrell Dr Ste 4
Highland Heights, KY 41076-9102

Mailing address

1412 Gloria Terrell Drive
Suite 4
Wilder, KY 41076
Phone (859) 442-0999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090209000234 KY Part B Supplier - Clinic/Group Practice 4688737042 Receives reassigned benefits from 1 practitioner
Practice locations: Burlington, KY

National Provider Directory

National Provider Directory

Locations

6082 Limaburg Rd
Burlington, KY 41005
Phone (859) 647-6200

1412 Gloria Terrell Dr
Ste 4
Wilder, KY 41076
Phone (859) 441-0885

Practitioners & affiliated clinicians

Practitioners 4

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": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1609020635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 GLORIA TERRELL DRIVE",
            "address_2": "SUITE 4",
            "city": "WILDER",
            "state": "KY",
            "postal_code": "41076",
            "telephone_number": "859-442-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 GLORIA TERRELL DR STE 4",
            "city": "HIGHLAND HEIGHTS",
            "state": "KY",
            "postal_code": "410769102",
            "telephone_number": "859-442-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "ORNBURN",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "859-442-0999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5137",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Heights, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.