Individual provider Active NPI

Gregory Shane Thomas, DC

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1851310460
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4954 Issued in KY
Practice address
152 Thierman LN
Louisville, KY 40207-5010
Phone
(502) 891-0333
Fax
(502) 721-0086
NPI assigned
Jul 18, 2006
Last updated
Apr 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4954 KY Primary

Addresses

Primary practice location

152 Thierman LN
Louisville, KY 40207-5010

Mailing address

152 Thierman LN
Louisville, KY 40207-5010
Phone (502) 891-0333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060309000145 KY Practitioner - Chiropractic 2769499136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

152 Thierman LN
Louisville, KY 40207-5010
Phone (502) 891-0333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Louisville PLLC Chiropractor CurrentSince Aug 1, 2005 Accepting new patients
Campbellsburg Chiropractic, PSC Chiropractor PastSince May 11, 2016 Accepting new patients
Day Chiropractic, PSC Chiropractor Past Accepting new patients

Locations

152 Thierman Ln
Louisville, KY 40207
Phone (502) 891-0333

Organizations & group practices 3

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1851310460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 THIERMAN LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075010",
            "telephone_number": "502-891-0333",
            "fax_number": "502-721-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 THIERMAN LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075010",
            "telephone_number": "502-891-0333",
            "fax_number": "502-721-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "GREGORY",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.