Individual provider Active NPI

Frida Bianco, D.C

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1790745628
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4942 Issued in KY
Practice address
7707 Preston Hwy
Louisville, KY 40219-3138
Phone
(502) 962-2277
Fax
(502) 962-1001
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4942 KY Primary

Addresses

Primary practice location

7707 Preston Hwy
Louisville, KY 40219-3138

Mailing address

7707 Preston Hwy
Louisville, KY 40219-3138
Phone (502) 962-2277

Other identifiers 2

IdentifierTypeStateIssuer
85003713MedicaidKY
000000376261OtherKYANTHEM BLUE CROSS BLUE SH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050830000384 KY Practitioner - Chiropractic 4789615782 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4942KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Preston Chiropractic and Rehabilitation LLC Chiropractor CurrentSince Aug 22, 2005 Accepting new patients

Locations

7707 Preston Hwy
Louisville, KY 40219
Phone (502) 962-2277

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1790745628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402193138",
            "telephone_number": "502-962-2277",
            "fax_number": "502-962-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402193138",
            "telephone_number": "502-962-2277",
            "fax_number": "502-962-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCO",
        "first_name": "FRIDA",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85003713",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "000000376261",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.