Individual provider Active NPI

Paul John Frangedakis, DC

  • Chiropractor
  • Lexington, KY
National Provider Identifier
1609944354
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4214 Issued in KY
Practice address
3320 Partner PL
Suite 112
Lexington, KY 40503-3628
Phone
(859) 223-5527
Fax
(859) 223-5527
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4214 KY Primary
Chiropractor 111N00000X 2301008472 MI

Addresses

Primary practice location

3320 Partner PL
Suite 112
Lexington, KY 40503-3628

Mailing address

3320 Partner PL
Suite 112
Lexington, KY 40503-3628
Phone (859) 223-5527

Other identifiers 3

IdentifierTypeStateIssuer
000000050780OtherANTHEM
4400180OtherUNITED HEALTHCARE
350055667MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040816000951 KY Practitioner - Chiropractic 6608849955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3320 Partner PL
Suite 112
Lexington, KY 40503-3628
Phone (859) 223-5527

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301008472MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dukey Incorporation Chiropractor CurrentSince Nov 1, 1994 Accepting new patients

Locations

3320 Partner Pl
Ste 112
Lexington, KY 40503
Phone (859) 223-5527

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1609944354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 PARTNER PL",
            "address_2": "SUITE 112",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033628",
            "telephone_number": "859-223-5527",
            "fax_number": "859-223-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 PARTNER PL",
            "address_2": "SUITE 112",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033628",
            "telephone_number": "859-223-5527",
            "fax_number": "859-223-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANGEDAKIS",
        "first_name": "PAUL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4214",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008472",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000050780",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "4400180",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350055667",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.