Chiropractic Medical Ky Pain Relief Center

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

28974 Issued in KY

Legal business name

CHIROPRACTIC MEDICAL KY PAIN RELIEF CENTER

Practice address

525 W 5TH St
Suite 320
Covington, KY 41011-1259

Phone

(859) 291-5775

Fax

(859) 291-5774

NPI assigned

Nov 28, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Forlenza Jr., D.C.

Title

President

Phone

(859) 291-5775

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1629345277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 176385",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410176385",
            "telephone_number": "859-291-5775",
            "fax_number": "859-291-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W 5TH ST",
            "address_2": "SUITE 320",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410111259",
            "telephone_number": "859-291-5775",
            "fax_number": "859-291-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC MEDICAL KY PAIN RELIEF CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "FORLENZA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-291-5775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4063",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "KY",
            "license": "28974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaspreet Kaur Chahal, MD
• Children'S Home of Northern Kentucky
• Children'S Home of Northern Kentucky
• Children'S Home of Northern Kentucky
• Chiropractic Health Center, PSC
• City of Covington
• Barbara Clark, RN
• Douglas Craig Clark, DMD
• Donna Clawson, LCSW
• Jennifer Ann Cline, APRN

• General Practice Physician in Covington, KY
• Providers in Covington, KY by specialty
• General Practice Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.