Victor De la Paz, DC
Individual provider Active NPI Chiropractor · Scottsville, KY
NPI 1750199592 · NPPES record last updated Dec 26, 2024
Key facts
- NPI
- 1750199592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 296917 (KY)
- Practice address
- 352 Old Gallatin Rd
Scottsville, KY 42164-8666 - Phone
- (270) 237-3304
- Fax
- (270) 237-3305
- NPI assigned
- Dec 26, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1101 Cleveland Ave
Glasgow, KY 42141-1011
Phone (270) 237-3304
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250102003065 | KY | Practitioner - Chiropractic | 6901333962 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spine Stop Glasgow, PLLC | Chiropractor | Current |
Accepting new patients |
| Spine Stop, PLLC | Chiropractor | Current |
Accepting new patients |
| Spine Stop Franklin, PLLC | Chiropractor | Current |
Accepting new patients |
Locations
208 S Main St
Franklin, KY 42134
Phone (270) 781-6477
1101 Cleveland Ave
Glasgow, KY 42141
352 Old Gallatin Rd
Scottsville, KY 42164
Phone (270) 239-2225
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 296917 | KY | Yes |
Addresses
Primary practice location
352 Old Gallatin Rd
Scottsville, KY 42164-8666
Mailing address
352 Old Gallatin Rd
Scottsville, KY 42164-8666
Phone (270) 237-3304
Other providers in Scottsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.