Organization Active NPI

Albany Family Chiropractic PLLC

  • Chiropractor
  • Albany, KY
National Provider Identifier
1689914475
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ALBANY FAMILY CHIROPRACTIC PLLC
Practice address
701 Burkesville Rd
Albany, KY 42602-1654
Phone
(606) 387-5793
Fax
(606) 387-0519
NPI assigned
Feb 15, 2013
Last updated
Oct 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Authorized official

Name
Tosha McCormack
Title
Compliance Officer
Phone
(859) 408-5440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

701 Burkesville Rd
Albany, KY 42602-1654

Mailing address

701 Burkesville Rd
Albany, KY 42602-1654
Phone (606) 387-5793

Other identifiers 1

IdentifierTypeStateIssuer
7100244020MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130404000558 KY Part B Supplier - Clinic/Group Practice 4587809082 Receives reassigned benefits from 2 practitioners
Practice locations: Albany, KY

National Provider Directory

National Provider Directory

Locations

701 Burkesville Rd
Albany, KY 42602
Phone (606) 387-5793

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1689914475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 BURKESVILLE RD",
            "city": "ALBANY",
            "state": "KY",
            "postal_code": "426021654",
            "telephone_number": "606-387-5793",
            "fax_number": "606-387-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 BURKESVILLE RD",
            "city": "ALBANY",
            "state": "KY",
            "postal_code": "426021654",
            "telephone_number": "606-387-5793",
            "fax_number": "606-387-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-15",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "MCCORMACK",
        "authorized_official_first_name": "TOSHA",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "859-408-5440"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100244020",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.