Paradise Chiropractic Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5350 Issued in KY

Legal business name

PARADISE CHIROPRACTIC CENTER, LLC

Practice address

5305 S 3Rd St
Louisville, KY 40214-2611

Phone

(864) 350-5974

NPI assigned

Sep 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. John David Goolsby, DC

Title

Owner/Chiropractor

Phone

(864) 350-5974

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1821349077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 S 3RD ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402142611",
            "telephone_number": "864-350-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 S 3RD ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402142611",
            "telephone_number": "864-350-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "GOOLSBY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "864-350-5974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "5350",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard A Pape, DMD MS
• Richard C Pape, MD
• Joseph Charles Pappalardo, M.D.
• Bhagya Lakshmi Papudesu, M.D.
• Nathan Paquet, MSOT, OTRL
• Brian Joseph Paradowski, M.D.
• Dee Lynda Paradowski, RD, CDE
• Bhavyata Parag, PHARMD
• Paragon Outpatient Rehabilitation Services, LLC
• Paragon Rehab

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.