Individual provider Active NPI

Jenna Langston, DC

  • Chiropractor
  • Campbellsburg, KY
National Provider Identifier
1902318017
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5594 Issued in KY
Practice address
8172 Main St
Campbellsburg, KY 40011-1467
Phone
(502) 532-0099
Fax
(502) 532-0096
NPI assigned
Oct 30, 2017
Last updated
Jul 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-04770 OH
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 5594 KY Primary

Addresses

Primary practice location

8172 Main St
Campbellsburg, KY 40011-1467

Mailing address

PO Box 293
Campbellsburg, KY 40011-0293
Phone (502) 532-0099

Other practice location 1

401 W Jefferson St
LA Grange, KY 40031-1113
Phone (502) 465-0055

Other practice location 2

501 Main St
Carrollton, KY 41008-1028
Phone (502) 662-0022

Other practice location 3

68 Wentworth Ave
Bedford, KY 40006-1004
Phone (502) 221-8030

Other names 1

  • Dr. Jenna Mosher Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190221000150 KY Practitioner - Chiropractic 9537420351 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Langston Chiropractic LLCGroup PAC ID 8921426693, 2 clinicians

Practice addresses (Care Compare)

501 Main St
Carrollton, KY 41008-1028
Phone (502) 662-0022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5594KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Langston Chiropractic LLC Chiropractor CurrentSince Oct 1, 2020 Accepting new patients
Campbellsburg Chiropractic, PSC Chiropractor CurrentSince Jan 24, 2019 Accepting new patients
Trihealth G, LLC PastSince Feb 23, 2018 Accepting new patients
Day Chiropractic, PSC Chiropractor PastSince Jan 24, 2019 Accepting new patients

Locations

8172 Main St
Campbellsburg, KY 40011
Phone (502) 532-0099

501 Main St
Carrollton, KY 41008
Phone (502) 662-0022

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1902318017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293",
            "city": "CAMPBELLSBURG",
            "state": "KY",
            "postal_code": "400110293",
            "telephone_number": "502-532-0099",
            "fax_number": "502-532-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8172 MAIN ST",
            "city": "CAMPBELLSBURG",
            "state": "KY",
            "postal_code": "400111467",
            "telephone_number": "502-532-0099",
            "fax_number": "502-532-0096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 W Jefferson St",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "KY",
            "postal_code": "400311113",
            "country_code": "US",
            "telephone_number": "502-465-0055",
            "fax_number": "502-532-0096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Main St",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "KY",
            "postal_code": "410081028",
            "country_code": "US",
            "telephone_number": "502-662-0022",
            "fax_number": "502-532-0096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "68 Wentworth Ave",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "KY",
            "postal_code": "400061004",
            "country_code": "US",
            "telephone_number": "502-221-8030",
            "fax_number": "502-532-0096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGSTON",
        "first_name": "JENNA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-04770",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "MOSHER",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Campbellsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.