Organization Active NPI

Bluegrass Chiropractic Inc.

  • Chiropractor
  • Lexington, KY
National Provider Identifier
1639340912
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3973 Issued in KY
Legal business name
BLUEGRASS CHIROPRACTIC INC.
Practice address
1132 Winchester Rd Ste 125
Lexington, KY 40505-4042
Phone
(859) 254-0059
Fax
(859) 254-1033
NPI assigned
Mar 14, 2008
Last updated
Jul 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Authorized official

Name
Dr. Barry Leon Pelton, D.ONPI 1831234434
Title
Owner
Phone
(859) 254-0059

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 3973 KY Primary

Addresses

Primary practice location

1132 Winchester Rd Ste 125
Lexington, KY 40505-4042

Mailing address

1132 Winchester Road
Suite 125
Lexington, KY 40505
Phone (859) 254-0059

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111101000321 KY Part B Supplier - Clinic/Group Practice 3476726811 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, KY

National Provider Directory

National Provider Directory

Locations

1132 Winchester Rd
#125
Lexington, KY 40505
Phone (859) 254-0059

1200 Winchester Rd
Lexington, KY 40505

Practitioners & affiliated clinicians

Practitioners 2

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": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1639340912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 WINCHESTER ROAD",
            "address_2": "SUITE 125",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40505",
            "telephone_number": "859-254-0059",
            "fax_number": "859-254-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 WINCHESTER RD STE 125",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405054042",
            "telephone_number": "859-254-0059",
            "fax_number": "859-254-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "PELTON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-254-0059",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "3973",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.