Magna Chiro Med, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4950 Issued in KY

Legal business name

MAGNA CHIRO MED, LLC

Practice address

2424 Airway Dr
Suite B
Bowling Green, KY 42103-7125

Phone

(270) 746-9400

Fax

(270) 746-0240

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Kelli Brown

Title

Office Manager

Phone

(270) 746-9400

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Magna Chiropractic, LLC Other name

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas William Kramer, D.C.

  • Chiropractor
  • Louisville, KY
  • NPI 1821268210
  NPD (past)
• Luke Puckett, D.C.

  • Chiropractor
  • Louisville, KY
  • NPI 1558501346
  NPD (past)
• Adam Patteson Rogers, DC

  • Chiropractor
  • Bowling Green, KY
  • NPI 1285629154
  NPD (past)
• Kenneth E Embry III, MD

  • General Practice Physician
  • Bartlett, TN
  • NPI 1245328624
  NPD (past)
• Kathryn L Kroyer-Forche, D.C.

  • Chiropractor
  • Lambertville, MI
  • NPI 1811976624
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1821143009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 AIRWAY DR",
            "address_2": "SUITE B",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037125",
            "telephone_number": "270-746-9400",
            "fax_number": "270-746-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 AIRWAY DR",
            "address_2": "SUITE B",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037125",
            "telephone_number": "270-746-9400",
            "fax_number": "270-746-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNA CHIRO MED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-746-9400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4950",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85003317",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285629154",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85003762",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396723755",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC NPI",
            "identifier": "1821143009",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magna Chiropractic, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica Maddox
• Khiry Shae Maddox, MED, BCBA, LBA
• Chloe Madison
• Husam Eldin Maglad, M.D.
• Paul Elkin Maglinger, M.D.
• Magna Chiropractic Spine Center of Bowling Green
• Magnolia Village Health Center LLC
• Jessica Mahaney
• Sandra T Mahoney, LCSW
• Maria Eve Main, A.R.N.P

• All providers in Bowling Green, KY
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.