NPIMap

Organization Active NPI

Shepherdsville Chiropractic, LLC

  • Chiropractor
  • Shepherdsville, KY
National Provider Identifier
1811921083
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4667 Issued in KY
Legal business name
SHEPHERDSVILLE CHIROPRACTIC, LLC
Practice address
149 Highway 44 E
Shepherdsville, KY 40165-6001
Phone
(502) 543-2225
Fax
(502) 921-4528
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
Dr. David R Lutz, D.C.NPI 1245276302
Title
Owner
Phone
(502) 543-2225

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4667 KY Primary

Addresses

Primary practice location

149 Highway 44 E
Shepherdsville, KY 40165-6001

Mailing address

149 Highway 44 E
Shepherdsville, KY 40165-6001
Phone (502) 543-2225

Other identifiers 4

IdentifierTypeStateIssuer
50011058OtherKYPASSPORT
85002319MedicaidKY
DG3127OtherKYPALMETTO RAILROAD MEDICARE
2734879000OtherKYPASSPORT ADVANTAGE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1811921083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 HIGHWAY 44 E",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401656001",
            "telephone_number": "502-543-2225",
            "fax_number": "502-921-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 HIGHWAY 44 E",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401656001",
            "telephone_number": "502-543-2225",
            "fax_number": "502-921-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERDSVILLE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-543-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50011058",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85002319",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RAILROAD MEDICARE",
            "identifier": "DG3127",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2734879000",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shepherdsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.