Active NPI
Richard Dale Vallotton, D.C.
- Chiropractor
- Georgetown, KY
National Provider Identifier
1740399914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5011
- Practice address
- 100 Eastside Dr
Georgetown, KY 40324-9797 - Phone
- (502) 868-0097
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5011 | KY | Primary |
Addresses
Primary practice location
100 Eastside Dr
Georgetown, KY 40324-9797
Mailing address
117 Ruffian TRL
Georgetown, KY 40324-8447
Phone (502) 644-4115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5011 | KY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740399914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 RUFFIAN TRL",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403248447",
"telephone_number": "502-644-4115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EASTSIDE DR",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403249797",
"telephone_number": "502-868-0097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLOTTON",
"first_name": "RICHARD",
"middle_name": "DALE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "5011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.