Organization Active NPI

David a Neville DC, Inc

  • Rehabilitation Chiropractor
  • Crestview Hills, KY
National Provider Identifier
1801071055
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
4771 Issued in KY
Legal business name
DAVID A NEVILLE DC, INC
Doing business as
Edgewood Spine and Rehabilitation Center
Practice address
320 Thomas More Pkwy Ste 201a
Crestview Hills, KY 41017-3456
Phone
(859) 426-1100
Fax
(859) 426-0809
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Dr. David Andrew Neville, DCNPI 1578649620
Title
President
Phone
(859) 426-1100

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
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 4771 KY Primary

Addresses

Primary practice location

320 Thomas More Pkwy Ste 201a
Crestview Hills, KY 41017-3456

Mailing address

320 Thomas More Pkwy Ste 201a
Crestview Hills, KY 41017-3456
Phone (859) 426-1100

Other names 1

  • Edgewood Spine and Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051103000076 KY Part B Supplier - Clinic/Group Practice 4183642762 Receives reassigned benefits from 2 practitioners
Practice locations: Edgewood, KY

National Provider Directory

National Provider Directory

Locations

320 Thomas More Pkwy
Ste 201A
Crestview Hills, KY 41017
Phone (859) 426-1100

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1801071055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 THOMAS MORE PKWY STE 201A",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173456",
            "telephone_number": "859-426-1100",
            "fax_number": "859-426-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 THOMAS MORE PKWY STE 201A",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173456",
            "telephone_number": "859-426-1100",
            "fax_number": "859-426-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A NEVILLE DC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "NEVILLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-426-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "KY",
            "license": "4771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edgewood Spine and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crestview Hills, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.