Organization Active NPI

Danville Chiropractic Center, Inc.

  • Chiropractor
  • Danville, KY
National Provider Identifier
1679615322
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3802 Issued in KY
Legal business name
DANVILLE CHIROPRACTIC CENTER, INC.
Practice address
101 Citation Dr
Suite a
Danville, KY 40422-9227
Phone
(859) 236-2295
Fax
(859) 238-0107
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Authorized official

Name
Dr. Edward H. Fisher, D.C.
Title
Doctor of Chiropractic
Phone
(859) 236-2295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3802 KY Primary

Addresses

Primary practice location

101 Citation Dr
Suite a
Danville, KY 40422-9227

Mailing address

101 Citation Dr
Suite a
Danville, KY 40422-9227
Phone (859) 236-2295

Other identifiers 3

IdentifierTypeStateIssuer
000000195322OtherKYBCBS
607692OtherKYACN GROUP
85038024MedicaidKY

National Provider Directory

National Provider Directory

Locations

101 Citation Dr
Ste A
Danville, KY 40422
Phone (859) 236-2295

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1679615322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CITATION DR",
            "address_2": "SUITE A",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404229227",
            "telephone_number": "859-236-2295",
            "fax_number": "859-238-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CITATION DR",
            "address_2": "SUITE A",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404229227",
            "telephone_number": "859-236-2295",
            "fax_number": "859-238-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVILLE CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "859-236-2295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "3802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000195322",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP",
            "identifier": "607692",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85038024",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.