Organization Active NPI

Robert F. Pelham, B.S.D.C.PSC

  • Chiropractor
  • Glasgow, KY
National Provider Identifier
1629105366
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ROBERT F. PELHAM, B.S.D.C.PSC
Practice address
205 Columbia Ave
Glasgow, KY 42141-2931
Phone
(270) 651-8340
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Authorized official

Name
Dr. Robert F Pelham, DC
Title
President
Phone
(270) 651-8340

Specialties & licenses 1

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

Addresses

Primary practice location

205 Columbia Ave
Glasgow, KY 42141-2931

Mailing address

205 Columbia Ave
Glasgow, KY 42141-2931
Phone (270) 651-8340

Other identifiers 1

IdentifierTypeStateIssuer
8590057900MedicaidKY

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1629105366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 COLUMBIA AVE",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421412931",
            "telephone_number": "270-651-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 COLUMBIA AVE",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421412931",
            "telephone_number": "270-651-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT F. PELHAM, B.S.D.C.PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "PELHAM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-651-8340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8590057900",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.