Statom Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

STATOM CHIROPRACTIC INC

Practice address

2210 Meadow Dr
Suite 5
Louisville, KY 40218-1323

Phone

(502) 822-1668

Fax

(844) 295-2789

NPI assigned

Feb 10, 2015

Organization subpart

No

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

Authorized official

Name

Kevin M Statom, DC

Title

Owner

Phone

(502) 822-1668

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1720479827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 MEADOW DR",
            "address_2": "SUITE 5",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181323",
            "telephone_number": "502-822-1668",
            "fax_number": "844-295-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 MEADOW DR",
            "address_2": "SUITE 5",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181323",
            "telephone_number": "502-822-1668",
            "fax_number": "844-295-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATOM CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "STATOM",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-822-1668",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• State Pharm Inc
• Melinda L Staten, APRN
• Ruth Robinson Staten, PHD, APRN-PMHNP-BC
• Vanessa States
• Victoria Anne Statler, M.D.
• Kevin M Statom, D.C.
• Brandon Stauble
• Mary Elaine Stauble, M.D.
• Stephanie Fowler Stauble, LPCC
• Taylor Stauble, MS, RD, LD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.