Organization Active NPI

Standing Stones Chiropractic, PLLC

  • Chiropractor
  • La Grange, KY
National Provider Identifier
1902160351
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4267 Issued in KY
Legal business name
STANDING STONES CHIROPRACTIC, PLLC
Doing business as
Back To Life Chiropractic
Practice address
4201 W Highway 146
La Grange, KY 40031-9758
Phone
(502) 241-1122
Fax
(502) 470-7347
NPI assigned
Jun 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Mr. Mark Robert Schuler, CHIROPRACTORNPI 1508820739
Title
Provider/Owner
Phone
(502) 241-1122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4267 KY Primary

Addresses

Primary practice location

4201 W Highway 146
La Grange, KY 40031-9758

Mailing address

4201 W Highway 146
La Grange, KY 40031-9758
Phone (502) 241-1122

Other identifiers 1

IdentifierTypeStateIssuer
7100260810MedicaidKY

Other names 1

  • Back To Life Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120828000375 KY Part B Supplier - Clinic/Group Practice 5698922540 Receives reassigned benefits from 1 practitioner
Practice locations: La Grange, KY

National Provider Directory

National Provider Directory

Locations

6225 W Highway 146
Ste B
Crestwood, KY 40014
Phone (502) 241-1122

6106 Crestwood Sta
Crestwood, KY 40014
Phone (502) 241-2030

4201 W Highway 146
Lagrange, KY 40031
Phone (502) 241-1122

Practitioners & affiliated clinicians

Practitioners 1

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": "1340928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1902160351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 W HIGHWAY 146",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400319758",
            "telephone_number": "502-241-1122",
            "fax_number": "502-214-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W HIGHWAY 146",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400319758",
            "telephone_number": "502-241-1122",
            "fax_number": "502-470-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDING STONES CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-29",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "SCHULER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "502-241-1122",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CHIROPRACTOR"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100260810",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back To Life Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Back To Life Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Grange, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.