Independence Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4327 Issued in KY

Legal business name

INDEPENDENCE CHIROPRACTIC, INC.

Practice address

1922 Walton Nichoolson Road
Independence, KY 41051

Phone

(859) 363-1000

Fax

(859) 363-0836

NPI assigned

Aug 30, 2012

Reactivated

Aug 27, 2013

Last updated

Aug 28, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dean D. Skinner, D.C.NPI 1114037785

Title

President

Phone

(859) 363-1000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dean D Skinner, D.C.

  • Chiropractor
  • Independence, KY
  • NPI 1114037785
  Medicare reassignment Authorized official
• Cole D Bergeson, D.C.

  • Chiropractor
  • Georgetown, KY
  • NPI 1386917466
  NPD (past)
• Karla Diane Boggs, LMT

  • Massage Therapist
  • Independence, KY
  • NPI 1366769440
  NPD (past)
• Lesli Dauenbaugh, LMT

  • Massage Therapist
  • Independence, KY
  • NPI 1417301383
  NPD (past)

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1811246242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 WALTON NICHOOLSON ROAD",
            "city": "INDEPENDENCE",
            "state": "KY",
            "postal_code": "41051",
            "telephone_number": "859-363-1000",
            "fax_number": "859-363-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 WALTON NICHOOLSON ROAD",
            "city": "INDEPENDENCE",
            "state": "KY",
            "postal_code": "41051",
            "telephone_number": "859-363-1000",
            "fax_number": "859-363-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2013-08-28",
        "deactivation_date": "2013-05-21",
        "reactivation_date": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-363-1000",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Marie Herbst, RPH
• Lee Hicks
• Sabrina Nicole Hogle
• Courtney Houston, FPSS
• Benjamin J Howard, DC
• Independence Family Practice P S C
• Independence Fire District
• Independence Urgent Care LLC
• Crystal Jackson
• Katherine Leeann Jamison, ARNP, RN

• Chiropractor in Independence, KY
• Providers in Independence, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.