Organization Active NPI

Stay Well Chiropractic, Inc.

  • Chiropractor
  • South Williamson, KY
National Provider Identifier
1851445704
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4290 Issued in KY
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0202793MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050318000919 OH Part B Supplier - Clinic/Group Practice 8224083506 Receives reassigned benefits from 1 practitioner
Practice locations: Chesapeake, OH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.