Southgate Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4453 Issued in KY

Legal business name

SOUTHGATE CHIROPRACTIC INC.

Practice address

2306 Alexandria Pike
Southgate, KY 41071-3234

Phone

(859) 572-0029

Fax

(859) 572-0263

NPI assigned

Apr 30, 2008

Last updated

May 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roger Christopher Jones, D.C.NPI 1518948538

Title

Owner/Chiropractor

Phone

(859) 572-0029

Specialties & licenses 1

Addresses

Other identifiers 2

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, and the practitioner matching its NPPES authorized official.

• Roger Christopher Jones, D.C.

  • Chiropractor
  • Southgate, KY
  • NPI 1518948538
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1700052644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 ALEXANDRIA PIKE",
            "city": "SOUTHGATE",
            "state": "KY",
            "postal_code": "410713234",
            "telephone_number": "859-572-0029",
            "fax_number": "859-572-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 ALEXANDRIA PIKE",
            "city": "SOUTHGATE",
            "state": "KY",
            "postal_code": "410713234",
            "telephone_number": "859-572-0029",
            "fax_number": "859-572-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHGATE CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "859-572-0029",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85001436",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BWC",
            "identifier": "40076493500",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James John Otrembiak, M.D.
• River Hills Pediatrics
• Jamie Lynn Schulz, D.O
• Rebecca Jo Scott, PA
• Mary Ann Smith, APRN
• Southgate Independent School District
• Southgate Volunteer Fire Department Inc
• Specialty Medical Drugstore
• Lindsey Marie Stevens, RD MS
• Charles J Sugarman, DPM

• Chiropractor in Southgate, KY
• Providers in Southgate, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.