Active NPI
Chiropractic Louisville PLLC
- Chiropractor
- Louisville, KY
National Provider Identifier
1770796476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- CHIROPRACTIC LOUISVILLE PLLC
- Practice address
- 152 Thierman LN
Louisville, KY 40207-5010 - Phone
- (502) 891-0333
- Fax
- (502) 721-0086
- NPI assigned
- May 8, 2007
- Reactivated
- Sep 11, 2007
- Last updated
- Apr 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory Shane Thomas, DC
- Title
- Chiropractor
- Phone
- (502) 891-0333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | Primary |
Addresses
Primary practice location
152 Thierman LN
Louisville, KY 40207-5010
Mailing address
152 Thierman LN
Louisville, KY 40207-5010
Phone (502) 891-0333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
152 Thierman Ln
Louisville, KY 40207
Phone (502) 891-0333
Practitioners & affiliated clinicians
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.
-
- Chiropractor
- Louisville, KY
- NPI 1851310460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207180800000",
"number": "1770796476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 THIERMAN LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402075010",
"telephone_number": "502-891-0333",
"fax_number": "502-721-0086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 THIERMAN LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402075010",
"telephone_number": "502-891-0333",
"fax_number": "502-721-0086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIROPRACTIC LOUISVILLE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-08",
"last_updated": "2008-04-03",
"deactivation_date": "2007-07-17",
"reactivation_date": "2007-09-11",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "SHANE",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "502-891-0333",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
- Cristina Ellen Chiodi
- Janet R Chipman, M.D.
- Chiromed Chiropractic PLLC
- Chiropractic and Medical Center LLC
- Chiropractic Health Care Center Inc.
- Chiropractic Rehab and Sports Injuries of Louisville
- Chiropractic Solutions PLLC (Skye Chiropractic at Bardstown Road)
- Alicia Golden Chisholm, LCSW
- Saima Chishti, PA-C
- Corey Peyton Chitwood
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.