Organization Active NPI

SB Chiropractic Dba East Broadway Chiropractic & Rehabilitation

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1679901680
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4507 Issued in KY
Legal business name
SB CHIROPRACTIC DBA EAST BROADWAY CHIROPRACTIC & REHABILITATION
Practice address
418 E Broadway
Louisville, KY 40202-1706
Phone
(502) 681-6800
Fax
(502) 681-6868
NPI assigned
Oct 30, 2013
Organization subpart
Yes
Parent organization
SB CHIROPRACTIC DBA EAST BROADWAY CHIROPRACTIC & REHABILITATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Authorized official

Name
Scott Gittings, D.C.
Title
Owner
Phone
(502) 681-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4507 KY Primary

Addresses

Primary practice location

418 E Broadway
Louisville, KY 40202-1706

Mailing address

418 E Broadway
Louisville, KY 40202-1706
Phone (502) 681-6800

National Provider Directory

National Provider Directory
Part of
SB Chiropractic PSC

Practitioners & affiliated clinicians

Practitioners 1

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": "1383091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383091200000",
    "number": "1679901680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 E BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021706",
            "telephone_number": "502-681-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 E BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021706",
            "telephone_number": "502-681-6800",
            "fax_number": "502-681-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SB CHIROPRACTIC DBA EAST BROADWAY CHIROPRACTIC & REHABILITATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SB CHIROPRACTIC DBA EAST BROADWAY CHIROPRACTIC & REHABILITATION",
        "enumeration_date": "2013-10-30",
        "last_updated": "2013-10-30",
        "status": "A",
        "authorized_official_last_name": "GITTINGS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-681-6800",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4507",
            "primary": true
        }
    ],
    "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 30, 2013; 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.