Active NPI
Anthony Victor Bastecki, D.C.
- Chiropractor
- Lexington, KY
National Provider Identifier
1790819209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3946
- Practice address
- 4750 Hartland Pkwy
Suite 200
Lexington, KY 40515-1558 - Phone
- (859) 266-2223
- Fax
- (859) 266-4926
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3946 | KY | Primary |
Addresses
Primary practice location
4750 Hartland Pkwy
Suite 200
Lexington, KY 40515-1558
Mailing address
4750 Hartland Pkwy
Suite 200
Lexington, KY 40515-1558
Phone (859) 266-2223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85039469 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3946 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A. Bastecki Chiropractic LTD | Past | Accepting new patients |
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.
-
- Medical Specialty Clinic/Center
- Lexington, KY
- NPI 1376788133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1790819209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4750 HARTLAND PKWY",
"address_2": "SUITE 200",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405151558",
"telephone_number": "859-266-2223",
"fax_number": "859-266-4926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 HARTLAND PKWY",
"address_2": "SUITE 200",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405151558",
"telephone_number": "859-266-2223",
"fax_number": "859-266-4926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASTECKI",
"first_name": "ANTHONY",
"middle_name": "VICTOR",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "3946",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85039469",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.