Active NPI
David Stewart Chalke, DC
- Chiropractor
- Paducah, KY
National Provider Identifier
1811905862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4678
- Practice address
- 412 Adams St
Paducah, KY 42003-1537 - Phone
- (270) 442-3988
- Fax
- (270) 442-4645
- NPI assigned
- Aug 4, 2006
- 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 | 4678 | KY | Primary |
Addresses
Primary practice location
412 Adams St
Paducah, KY 42003-1537
Mailing address
412 Adams St
Paducah, KY 42003-1537
Phone (270) 442-3988
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000222880 | Other | KY | BCBS |
| 633766 | Other | KY | HEALTHLINK |
| P00099865 | Other | KY | MEDICARE RR RETIREMENT |
| 4048861 | Other | TN | BCBS OF TN |
| 854354080 | Other | AETNA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4678 | KY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Sound Mind Behavioral Health | 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.
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1003492562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221696000000",
"number": "1811905862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 ADAMS ST",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420031537",
"telephone_number": "270-442-3988",
"fax_number": "270-442-4645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 ADAMS ST",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420031537",
"telephone_number": "270-442-3988",
"fax_number": "270-442-4645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHALKE",
"first_name": "DAVID",
"middle_name": "STEWART",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2008-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4678",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000222880",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "633766",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR RETIREMENT",
"identifier": "P00099865",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN",
"identifier": "4048861",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "854354080",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.