Organization Active NPI

Meyers Chiropractic Center PSC

  • Chiropractor
  • Russell Springs, KY
National Provider Identifier
1679791214
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4916 Issued in KY
Legal business name
MEYERS CHIROPRACTIC CENTER PSC
Doing business as
lakeway chiropractic center
Practice address
130 W Steve Wariner Dr
Russell Springs, KY 42642-4540
Phone
(270) 866-5553
Fax
(270) 866-6881
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Authorized official

Name
Dr. Jeffery Scott Meyers, DCNPI 1578677548
Title
Doctor of Chiropractic
Phone
(270) 866-5553

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4916 KY Primary

Addresses

Primary practice location

130 W Steve Wariner Dr
Russell Springs, KY 42642-4540

Mailing address

130 W Steve Wariner Dr
Russell Springs, KY 42642-4540
Phone (270) 866-5553

Other names 1

  • lakeway chiropractic center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070719000757 KY Part B Supplier - Clinic/Group Practice 1759482813 Receives reassigned benefits from 1 practitioner
Practice locations: Russell Springs, KY

National Provider Directory

National Provider Directory

Locations

130 W Steve Wariner Dr
Russell Springs, KY 42642
Phone (270) 866-5553

2329 Lakeway Dr
Ste G
Russell Springs, KY 42642
Phone (270) 866-5553

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1679791214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W STEVE WARINER DR",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426424540",
            "telephone_number": "270-866-5553",
            "fax_number": "270-866-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W STEVE WARINER DR",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426424540",
            "telephone_number": "270-866-5553",
            "fax_number": "270-866-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEYERS CHIROPRACTIC CENTER PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "270-866-5553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "lakeway chiropractic center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "lakeway chiropractic center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Russell Springs, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.