Individual provider Active NPI

Sara Bettinger, D.C.

  • Chiropractor
  • Maysville, KY
National Provider Identifier
1821316878
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5379 Issued in KY
Practice address
1907 Old Main St
Maysville, KY 41056-8957
Phone
(606) 759-0090
Fax
(606) 759-0092
NPI assigned
May 13, 2010
Last updated
Sep 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4066 OH
Chiropractor 111N00000X 5379 KY Primary

Addresses

Primary practice location

1907 Old Main St
Maysville, KY 41056-8957

Mailing address

1907 Old Main St
Maysville, KY 41056-8957
Phone (606) 759-0090

Other identifiers 2

IdentifierTypeStateIssuer
3075587MedicaidOH
7100263900MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130903000684 KY Practitioner - Chiropractic 3274667894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

497 Tucker Dr
Maysville, KY 41056-9111
Phone (606) 759-0090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4066OHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bettinger Chiropractic Center, PLLC Chiropractor CurrentSince May 18, 2013 Accepting new patients
Innovative Pain Solutions LLC PastSince Sep 5, 2017 Accepting new patients
Spine Center Chiropractic LLC Chiropractor PastSince Dec 24, 2002 Accepting new patients
DC Management and Consulting LLC Chiropractor PastSince Nov 20, 2022 Accepting new patients

Locations

1907 Old Main St
Maysville, KY 41056
Phone (606) 759-0090

497 Tucker Dr
Maysville, KY 41056
Phone (606) 759-4678

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1821316878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 OLD MAIN ST",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410568957",
            "telephone_number": "606-759-0090",
            "fax_number": "606-759-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 OLD MAIN ST",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410568957",
            "telephone_number": "606-759-0090",
            "fax_number": "606-759-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTINGER",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-13",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4066",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3075587",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100263900",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maysville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.