Organization Active NPI

Champion Chiropractic, Inc

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1659560035
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4467 Issued in KY
Legal business name
CHAMPION CHIROPRACTIC, INC
Practice address
332 W Broadway
#801
Louisville, KY 40202-2130
Phone
(502) 459-9321
NPI assigned
Oct 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
John Rotondi, DC
Title
Owner
Phone
(502) 459-9321

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4467 KY Primary
Point of Service 305S00000X 4467 KY

Addresses

Primary practice location

332 W Broadway
#801
Louisville, KY 40202-2130

Mailing address

332 W Broadway
#801
Louisville, KY 40202-2130

National Provider Directory

National Provider Directory

Locations

332 W Broadway
#801
Louisville, KY 40202
Phone (502) 459-9321

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1659560035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 W BROADWAY",
            "address_2": "#801",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 W BROADWAY",
            "address_2": "#801",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022130",
            "telephone_number": "502-459-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "ROTONDI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-459-9321",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4467",
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "KY",
            "license": "4467",
            "primary": false
        }
    ],
    "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 Oct 26, 2007; 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.