Active NPI
David Edward Dahlkamp, D.C.
- Chiropractor
- Shepherdsville, KY
National Provider Identifier
1619923935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4986
- Practice address
- 149 Highway 44 E
Shepherdsville, KY 40165-6001 - Phone
- (502) 543-2225
- Fax
- (502) 921-4528
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4986 | KY | Primary |
Addresses
Primary practice location
149 Highway 44 E
Shepherdsville, KY 40165-6001
Mailing address
149 Highway 44 E
Shepherdsville, KY 40165-6001
Phone (502) 543-2225
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2784908000 | Other | KY | PASSPORT ADVANTAGE |
| 7084891 | Other | KY | AETNA |
| 11658805 | Other | KY | CAQH |
| 50012854 | Other | KY | PASSPORT |
| 000000511278 | Other | KY | ANTHEM BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
149 Hwy 44 E
Shepherdsville, KY 40165-0215
Phone (502) 543-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4986 | KY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shepherdsville Chiropractic and Rehab LLC | Chiropractor | Current | Accepting new patients |
| Shepherdsville Chiropractic, LLC | Chiropractor | Past | Accepting new patients |
| Dr. Q., Inc. | Chiropractor | Past | Accepting new patients |
| Qfour, Inc. | Chiropractor | Past | Accepting new patients |
Locations
149 Highway 44 E
Shepherdsvlle, KY 40165
Phone (502) 543-2225
Organizations & group practices 4
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.
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- Chiropractor
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-
- Chiropractor
- Shepherdsville, KY
- NPI 1811921083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465948800000",
"number": "1619923935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 HIGHWAY 44 E",
"city": "SHEPHERDSVILLE",
"state": "KY",
"postal_code": "401656001",
"telephone_number": "502-543-2225",
"fax_number": "502-921-4528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 HIGHWAY 44 E",
"city": "SHEPHERDSVILLE",
"state": "KY",
"postal_code": "401656001",
"telephone_number": "502-543-2225",
"fax_number": "502-921-4528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHLKAMP",
"first_name": "DAVID",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2016-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4986",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE",
"identifier": "2784908000",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7084891",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11658805",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50012854",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
"identifier": "000000511278",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shepherdsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.