Organization Active NPI

Roderick D Coxon D C P S C

Doing business as Coxon Chiropractic

  • Orthopedic Chiropractor
  • Lebanon, KY
National Provider Identifier
1720470602
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
4454 Issued in KY
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

Updated by the provider on Mar 24, 2015

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)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
85000297MedicaidKY

Other names 1

  • COXON CHIROPRACTIC Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.