Buckner Chiropractic Center, PSC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

4155 Issued in KY

Legal business name

BUCKNER CHIROPRACTIC CENTER, PSC

Practice address

4201 W Highway 146
La Grange, KY 40031-9758

Phone

(502) 265-0184

Fax

(502) 265-0184

NPI assigned

Jan 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca Jean Shelburne, DCNPI 1467505446

Title

President

Phone

(502) 265-0184

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Jean Shelburne, DC

  • Chiropractor
  • La Grange, KY
  • NPI 1467505446
  NPD (past) Authorized official

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770636797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 373",
            "city": "BUCKNER",
            "state": "KY",
            "postal_code": "400100373",
            "telephone_number": "502-265-0184",
            "fax_number": "502-265-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W HIGHWAY 146",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400319758",
            "telephone_number": "502-265-0184",
            "fax_number": "502-265-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKNER CHIROPRACTIC CENTER, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHELBURNE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-265-0184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "KY",
            "license": "4155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4480965",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000318051",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McKenzie Brockwell, OTD, OTR/L
• Morgan Victoria Wild Brost, LPA
• Stacey Michelle Brothers
• Anna Jordyn Brown
• Rebecca Ann Brown
• Angela S. Burden, ARNP
• Caley Burkhouse
• Meredeth Riley Burns, CCC-SLP
• Megan Lynn Burrell
• Addie Elizabeth Burton, APRN

• Health Service Clinic/Center in La Grange, KY
• Providers in La Grange, KY by specialty
• Health Service Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.