Individual provider Active NPI

Shawn Kennedy Chandler, D.C.

  • Chiropractor
  • Frankfort, KY
National Provider Identifier
1720256985
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4904 Issued in KY
Practice address
975 River Bend Rd
Frankfort, KY 40601-6314
Phone
(502) 223-7218
Fax
(502) 223-5177
NPI assigned
Feb 11, 2008
Last updated
Dec 31, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4904 KY Primary

Addresses

Primary practice location

975 River Bend Rd
Frankfort, KY 40601-6314

Mailing address

975 River Bend Rd
Frankfort, KY 40601-2750
Phone (502) 223-7218

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050502000529 KY Practitioner - Chiropractic 2466491170 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4904KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab 4 Health, PLLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451520000000",
    "number": "1720256985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 RIVER BEND RD",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406012750",
            "telephone_number": "502-223-7218",
            "fax_number": "502-223-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 RIVER BEND RD",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406016314",
            "telephone_number": "502-223-7218",
            "fax_number": "502-223-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "SHAWN",
        "middle_name": "KENNEDY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-11",
        "last_updated": "2015-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.