Active NPI
Matthew Jon Quinones, DC
- Chiropractor
- Louisville, KY
National Provider Identifier
1659489706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4939
- Practice address
- 5538 New Cut Rd
Louisville, KY 40214 - Phone
- (502) 380-1210
- Fax
- (502) 380-1646
- NPI assigned
- Aug 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 4939 | KY | Primary |
Addresses
Primary practice location
5538 New Cut Rd
Louisville, KY 40214
Mailing address
5538 New Cut Rd
Louisville, KY 40214
Phone (502) 380-1210
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11513402 | Other | KY | CAQH |
| 50008038 | Other | PASSPORT | |
| 85003721 | Medicaid | KY | |
| 000000382602 | Other | KY | ANTHEM BC/BS |
| 7385725 | Other | AETNA | |
| 681979 | Other | GE WELLNESS | |
| 681979 | Other | HEALTH ALLIES | |
| 000000382602 | Other | KY | ANTHEM SENIOR ADVANTAGE |
| 2446185000 | Other | KY | PASSPORT ADVANTAGE |
| 681979 | Other | GOLDEN RULE | |
| 681979 | Other | BLUEGRASS FAMILY HEALTH | |
| 681979 | Other | GREAT WEST HEALTHCARE |
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
- Palmer College Chiropractic - Davenport, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5538 New Cut Rd
Louisville, KY 40214-4330
Phone (502) 380-1210
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4939 | KY | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Quinones, PSC | Chiropractor | Current | Accepting new patients |
| Dr. Q., Inc. | Chiropractor | Past | Accepting new patients |
| MKF Chiropractic, PSC | Chiropractor | Past | Accepting new patients |
Locations
5538 New Cut Rd
Louisville, KY 40214
Phone (502) 380-1210
Organizations & group practices 3
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.
-
- Chiropractor
- Louisville, KY
- NPI 1811162878
-
- Chiropractor
- Louisville, KY
- NPI 1699956169
-
- Chiropractor
- Louisville, KY
- NPI 1407045651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1659489706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5538 NEW CUT RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40214",
"telephone_number": "502-380-1210",
"fax_number": "502-380-1646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5538 NEW CUT RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40214",
"telephone_number": "502-380-1210",
"fax_number": "502-380-1646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINONES",
"first_name": "MATTHEW",
"middle_name": "JON",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4939",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11513402",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50008038",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85003721",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000382602",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7385725",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GE WELLNESS",
"identifier": "681979",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIES",
"identifier": "681979",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM SENIOR ADVANTAGE",
"identifier": "000000382602",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE",
"identifier": "2446185000",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GOLDEN RULE",
"identifier": "681979",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUEGRASS FAMILY HEALTH",
"identifier": "681979",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST HEALTHCARE",
"identifier": "681979",
"state": null
}
],
"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 Nov 15, 2007; 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.