Organization Active NPI

Chiropractic Health Center, PSC

  • Medical Specialty Clinic/Center
  • Covington, KY
National Provider Identifier
1891107520
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
4162 Issued in KY
Legal business name
CHIROPRACTIC HEALTH CENTER, PSC
Practice address
3631 Decoursey Ave
Covington, KY 41015-1436
Phone
(859) 431-2273
Fax
(859) 431-6937
NPI assigned
May 29, 2014
Last updated
Jun 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Dr. Robert Mark Reeves, D.C.NPI 1932285707
Title
President/Owner
Phone
(859) 431-2273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 4162 KY Primary

Addresses

Primary practice location

3631 Decoursey Ave
Covington, KY 41015-1436

Mailing address

3631 Decoursey Ave
Covington, KY 41015-1436
Phone (859) 431-2273

Other identifiers 1

IdentifierTypeStateIssuer
85001121MedicaidKY

National Provider Directory

National Provider Directory

Locations

3631 Decoursey Ave
Covington, KY 41015
Phone (606) 431-2273

Practitioners & affiliated clinicians

Practitioners 5

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": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1891107520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 DECOURSEY AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410151436",
            "telephone_number": "859-431-2273",
            "fax_number": "859-431-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 DECOURSEY AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410151436",
            "telephone_number": "859-431-2273",
            "fax_number": "859-431-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTH CENTER, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "859-431-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "KY",
            "license": "4162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85001121",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.