Organization Active NPI

E Town Chiropractic PLLC

  • Orthopedic Chiropractor
  • Elizabethtown, KY
National Provider Identifier
1780798330
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
4102 Issued in KY
Legal business name
E TOWN CHIROPRACTIC PLLC
Doing business as
E town Chiropractic PLLC
Practice address
620 Westport Rd Ste a
Elizabethtown, KY 42701-4408
Phone
(270) 769-9844
Fax
(270) 769-2205
NPI assigned
Aug 19, 2006
Last updated
Jun 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Authorized official

Name
Dr. Dean William Tindall, DC, ND, DCP, DABCONPI 1396762001
Title
Presdent Member
Phone
(270) 769-9844

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)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 4102 KY Primary

Addresses

Primary practice location

620 Westport Rd Ste a
Elizabethtown, KY 42701-4408

Mailing address

620 Westport Rd Ste a
Elizabethtown, KY 42701-4408
Phone (270) 769-9844

Other names 1

  • E town Chiropractic PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070222000578 KY Part B Supplier - Clinic/Group Practice 0648372698 Receives reassigned benefits from 1 practitioner
Practice locations: Elizabethtown, KY

National Provider Directory

National Provider Directory

Locations

620 Westport Rd
Ste A
Elizabethtown, KY 42701
Phone (270) 769-9844

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1780798330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 WESTPORT RD STE A",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427014408",
            "telephone_number": "270-769-9844",
            "fax_number": "270-769-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 WESTPORT RD STE A",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427014408",
            "telephone_number": "270-769-9844",
            "fax_number": "270-769-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E TOWN CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "TINDALL",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESDENT MEMBER",
        "authorized_official_telephone_number": "270-769-9844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, ND, DCP, DABCO"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "KY",
            "license": "4102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E town Chiropractic PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.