Individual provider Active NPI

Kyle Mason Owsley, D.C.

  • Chiropractor
  • Bowling Green, KY
National Provider Identifier
1801997473
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4906 Issued in KY
Practice address
301 Pascoe Blvd
Bowling Green, KY 42104-6387
Phone
(270) 846-0505
Fax
(270) 846-0605
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4906 KY Primary

Addresses

Primary practice location

301 Pascoe Blvd
Bowling Green, KY 42104-6387

Mailing address

301 Pascoe Blvd
Bowling Green, KY 42104-6387
Phone (270) 846-0505

Other identifiers 1

IdentifierTypeStateIssuer
85003853MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050919000223 KY Practitioner - Chiropractic 7315970464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

301 Pascoe Blvd
Bowling Green, KY 42104-6387
Phone (270) 846-0505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4906KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Owsley Family Chiropractic of Bowling Green, PLLC Chiropractor CurrentSince Jan 1, 2015 Accepting new patients

Locations

301 Pascoe Blvd
Bowling Green, KY 42104
Phone (270) 846-0505

1847 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 846-0505

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1801997473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PASCOE BLVD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421046387",
            "telephone_number": "270-846-0505",
            "fax_number": "270-846-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PASCOE BLVD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421046387",
            "telephone_number": "270-846-0505",
            "fax_number": "270-846-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWSLEY",
        "first_name": "KYLE",
        "middle_name": "MASON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85003853",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.