Dale Hollow Chiropractic PSC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

KY5153 Issued in KY

Legal business name

DALE HOLLOW CHIROPRACTIC PSC

Practice address

390 Keen St
Burkesville, KY 42717-7682

Phone

(270) 433-3149

Fax

(801) 820-3309

NPI assigned

Dec 9, 2014

Last updated

May 2, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Flannagan, DCNPI 1992954341

Title

President

Phone

(270) 864-1774

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph A Flannagan, D.C.

  • Chiropractor
  • Burkesville, KY
  • NPI 1992954341
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1750789673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 294",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427170294",
            "telephone_number": "270-864-1774",
            "fax_number": "801-820-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 KEEN ST",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427177682",
            "telephone_number": "270-433-3149",
            "fax_number": "801-820-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE HOLLOW CHIROPRACTIC PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-09",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "FLANNAGAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-864-1774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "KY5153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shelby L Daffron, LCSW
• Misty P Davidson
• Virginia M Dunlap, DMD
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• Family Home Health Care Inc (Copper Lane Adult Day Care Center)
• Joseph A Flannagan, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.