Active NPI
Stay Well Chiropractic, Inc.
- Chiropractor
- South Williamson, KY
National Provider Identifier
1851445704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4290
- Legal business name
- STAY WELL CHIROPRACTIC, INC.
- Practice address
- 135 Central Ave
Suite #1
South Williamson, KY 41503-4165 - Phone
- (606) 237-9355
- NPI assigned
- Jan 22, 2007
- Last updated
- Aug 23, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lura-Beth Hensley, D.C.
- Title
- Owner
- Phone
- (740) 867-4080
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4290 | KY | Primary |
| Chiropractor | 111N00000X | 2280 | OH |
Addresses
Primary practice location
135 Central Ave
Suite #1
South Williamson, KY 41503-4165
Mailing address
135 Central Ave
Suite #1
South Williamson, KY 41503-4165
Phone (606) 237-9355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0202793 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
135 Central Ave
Ste 1
South Williamson, KY 41503
Phone (606) 237-9355
601 3rd Ave
Chesapeake, OH 45619
Phone (740) 867-4080
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Chesapeake, OH
- NPI 1306806906
-
- Chiropractor
- Chesapeake, OH
- NPI 1972534386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1345680000000",
"number": "1851445704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 CENTRAL AVE",
"address_2": "SUITE #1",
"city": "SOUTH WILLIAMSON",
"state": "KY",
"postal_code": "415034165",
"telephone_number": "606-237-9355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 CENTRAL AVE",
"address_2": "SUITE #1",
"city": "SOUTH WILLIAMSON",
"state": "KY",
"postal_code": "415034165",
"telephone_number": "606-237-9355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAY WELL CHIROPRACTIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-22",
"last_updated": "2012-08-23",
"status": "A",
"authorized_official_last_name": "HENSLEY",
"authorized_official_first_name": "LURA-BETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "740-867-4080",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4290",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "2280",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0202793",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Williamson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.