Tillman Family Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5512 Issued in KY

Legal business name

TILLMAN FAMILY CHIROPRACTIC

Practice address

1601 W Everly Brothers Blvd Ste 1B
Central City, KY 42330-2707

Phone

(270) 608-8473

NPI assigned

Oct 3, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Randall Tillman, D.C.NPI 1447709316

Title

Chiropractor

Phone

(270) 608-8473

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

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

• Randall Tillman, D.C.

  • Chiropractor
  • Central City, KY
  • NPI 1447709316
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1699224576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W EVERLY BROTHERS BLVD STE 1B",
            "city": "CENTRAL CITY",
            "state": "KY",
            "postal_code": "423302707",
            "telephone_number": "270-608-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W EVERLY BROTHERS BLVD STE 1B",
            "city": "CENTRAL CITY",
            "state": "KY",
            "postal_code": "423302707",
            "telephone_number": "270-608-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILLMAN FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "TILLMAN",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "270-608-8473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edith Ann Stanley, H.I.S.
• Angela Stewart, M.ED
• Evan M Sweeney, PHARMD
• Carson Teague, APRN
• Alyssa Marie Thomas
• Candace L Tillman, DNP. APRN, FNP-C
• Randall Tillman, D.C.
• Hollie Michelle Tooley, MS CCC-SLP
• Timothy R Underwood, D.M.D.
• Dayna Yvette Utley

• Chiropractor in Central City, KY
• Providers in Central City, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.