Individual provider Active NPI

Cory Heath Shouse, DC

  • Chiropractor
  • Greenup, KY
National Provider Identifier
1801569983
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
271957 Issued in KY
Practice address
1103 Seaton Ave Ste 1
Greenup, KY 41144-1132
Phone
(606) 618-9600
NPI assigned
Jul 26, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 271957 KY Primary

Addresses

Primary practice location

1103 Seaton Ave Ste 1
Greenup, KY 41144-1132

Mailing address

2425 Regency Rd
Lexington, KY 40503-2948
Phone (185) 977-9121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210802000556 KY Practitioner - Chiropractic 9335543149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BC Fugate PLLCGroup PAC ID 6204280787, 2 clinicians

Practice addresses (Care Compare)

2417 Nicholasville Rd
Suite 114
Lexington, KY 40503-3178
Phone (859) 278-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Core Health Centers of Greenup LLC Chiropractor CurrentSince Aug 1, 2021 Accepting new patients

Locations

1103 Seaton Ave
#1
Greenup, KY 41144
Phone (606) 618-9388

Organizations & group practices 2

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": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1801569983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 REGENCY RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032948",
            "telephone_number": "185-977-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 SEATON AVE STE 1",
            "city": "GREENUP",
            "state": "KY",
            "postal_code": "411441132",
            "telephone_number": "606-618-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOUSE",
        "first_name": "CORY",
        "middle_name": "HEATH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "271957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenup, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.