Organization Active NPI

Kentucky Family Chiropractic East Louisville PSC

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1629166632
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4444 Issued in KY
Legal business name
KENTUCKY FAMILY CHIROPRACTIC EAST LOUISVILLE PSC
Practice address
291 N Hubbards LN
Suite A22
Louisville, KY 40207-2295
Phone
(502) 893-8873
Fax
(502) 893-8847
NPI assigned
Oct 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David N Campola, DCNPI 1043217730
Title
President
Phone
(502) 893-8873

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
Chiropractor 111N00000X 4444 KY Primary

Addresses

Primary practice location

291 N Hubbards LN
Suite A22
Louisville, KY 40207-2295

Mailing address

291 N Hubbards LN
Suite A22
Louisville, KY 40207-2295
Phone (502) 893-8873

National Provider Directory

National Provider Directory

Locations

291 N Hubbards Ln
Ste A22
Louisville, KY 40207
Phone (502) 893-8873

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629166632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 N HUBBARDS LN",
            "address_2": "SUITE A22",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072295",
            "telephone_number": "502-893-8873",
            "fax_number": "502-893-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 N HUBBARDS LN",
            "address_2": "SUITE A22",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072295",
            "telephone_number": "502-893-8873",
            "fax_number": "502-893-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY FAMILY CHIROPRACTIC EAST LOUISVILLE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPOLA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-893-8873",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.