Active NPI
Roderick D Coxon D C P S C
Doing business as Coxon Chiropractic
- Orthopedic Chiropractor
- Lebanon, KY
National Provider Identifier
1720470602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 4454
- Legal business name
- RODERICK D COXON D C P S C
- Doing business as
- Coxon Chiropractic
- Practice address
- 116 Lebanon Trade Center Dr
Lebanon, KY 40033-1821 - Phone
- (270) 699-2323
- Fax
- (270) 699-2323
- NPI assigned
- Mar 2, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Roderick D Coxon, DC
- Title
- Owner
- Phone
- (270) 699-2323
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 4454 | KY | Primary |
Addresses
Primary practice location
116 Lebanon Trade Center Dr
Lebanon, KY 40033-1821
Mailing address
116 Lebanon Trade Center Dr
Lebanon, KY 40033-1821
Phone (270) 699-2323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85000297 | Medicaid | KY |
Other names 1
- COXON CHIROPRACTIC
National Provider Directory
National Provider DirectoryLocations
112 Lebanon Trade Ctr
Lebanon, KY 40033
Phone (270) 699-2323
112 Lebanon Trade Ctr
Lebanon, KY 40033
Phone (270) 699-2323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427155200000",
"number": "1720470602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 LEBANON TRADE CENTER DR",
"city": "LEBANON",
"state": "KY",
"postal_code": "400331821",
"telephone_number": "270-699-2323",
"fax_number": "270-699-2323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 LEBANON TRADE CENTER DR",
"city": "LEBANON",
"state": "KY",
"postal_code": "400331821",
"telephone_number": "270-699-2323",
"fax_number": "270-699-2323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RODERICK D COXON D C P S C",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-02",
"last_updated": "2015-03-24",
"status": "A",
"authorized_official_last_name": "COXON",
"authorized_official_first_name": "RODERICK",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "270-699-2323",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Orthopedic",
"state": "KY",
"license": "4454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85000297",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "COXON CHIROPRACTIC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lebanon, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.