Victor Emanuel Ortiz Diaz

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

286517 Issued in KY

Practice address

703 E Main St Ste B
Lebanon, KY 40033-8695

Phone

(270) 699-2323

Fax

(270) 699-2323

NPI assigned

Sep 29, 2023

Last updated

Sep 29, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Victor Emanuel Ortiz Diaz Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1861272759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 E MAIN ST STE B",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400338695",
            "telephone_number": "270-699-2323",
            "fax_number": "270-699-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E MAIN ST STE B",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400338695",
            "telephone_number": "270-699-2323",
            "fax_number": "270-699-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ DIAZ",
        "first_name": "VICTOR",
        "middle_name": "EMANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "286517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTOR",
            "last_name": "ORTIZ DIAZ",
            "middle_name": "EMANUEL",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.