Individual provider Active NPI

James Lawrence Maupin, D. C.

  • Chiropractor
  • Bardstown, KY
National Provider Identifier
1831284884
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4363 Issued in KY
Practice address
703 McDowell Blvd. Suite 200
Bardstown, KY 40004-2651
Phone
(502) 331-9676
Fax
(502) 331-9683
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4363 KY Primary

Addresses

Primary practice location

703 McDowell Blvd. Suite 200
Bardstown, KY 40004-2651

Mailing address

703 McDowell Blvd. Suite 200
Bardstown, KY 40004-2651
Phone (502) 331-9676

Other identifiers 3

IdentifierTypeStateIssuer
000000041697OtherKYANTHME BCBS
2443880000MedicaidKY
2507847OtherKYAETNA INSURANCE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060112000088 KY Practitioner - Chiropractic 5991728305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

703 McDowell Blvd
Suite 200
Bardstown, KY 40004-2674
Phone (502) 331-9676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
James Lawrence Maupin, D.C., PSC Chiropractor CurrentSince Mar 3, 1997 Accepting new patients
Essential Health Care LLC PastSince Aug 1, 2015 Accepting new patients

Locations

703 McDowell Blvd
Ste 200
Bardstown, KY 40004
Phone (502) 331-9676

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1831284884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 MCDOWELL BLVD. SUITE 200",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042651",
            "telephone_number": "502-331-9676",
            "fax_number": "502-331-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 MCDOWELL BLVD. SUITE 200",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042651",
            "telephone_number": "502-331-9676",
            "fax_number": "502-331-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUPIN",
        "first_name": "JAMES",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D. C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHME BCBS",
            "identifier": "000000041697",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2443880000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INSURANCE",
            "identifier": "2507847",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.