Organization Active NPI

Louisville Spinal Care Inc

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1861657678
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4682 Issued in KY
Legal business name
LOUISVILLE SPINAL CARE INC
Practice address
147 Chenoweth LN
Louisville, KY 40207-2652
Phone
(502) 893-8887
Fax
(502) 895-1916
NPI assigned
Jul 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Authorized official

Name
Nicholas Brett Zemba, DC
Title
Chiropractor
Phone
(502) 893-8887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4682 KY Primary

Addresses

Primary practice location

147 Chenoweth LN
Louisville, KY 40207-2652

Mailing address

147 Chenoweth LN
Louisville, KY 40207-2652
Phone (502) 893-8887

Other identifiers 3

IdentifierTypeStateIssuer
50005853OtherKYPASSPORT
850003325MedicaidKY
000000269576OtherKYBLUE CROSS/BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051102000936 KY Part B Supplier - Clinic/Group Practice 3476571019 Receives reassigned benefits from 4 practitioners
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Locations

1801 Priority Way
Louisville, KY 40299
Phone (502) 893-8887

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1861657678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 CHENOWETH LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072652",
            "telephone_number": "502-893-8887",
            "fax_number": "502-895-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 CHENOWETH LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072652",
            "telephone_number": "502-893-8887",
            "fax_number": "502-895-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE SPINAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "ZEMBA",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "BRETT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "502-893-8887",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50005853",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "850003325",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "000000269576",
            "state": "KY"
        }
    ],
    "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 Jan 16, 2013; 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.