Individual provider Active NPI

Ian Marcus Puntney, D.C.

  • Chiropractor
  • Lexington, KY
National Provider Identifier
1912198714
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5087 Issued in KY
Practice address
535 Wellington Way
Suite 270
Lexington, KY 40503-1385
Phone
(859) 309-1996
NPI assigned
Aug 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038010948 IL
Chiropractor 111N00000X 5087 KY Primary

Addresses

Primary practice location

535 Wellington Way
Suite 270
Lexington, KY 40503-1385

Mailing address

617 Cecil Way
Lexington, KY 40503-2101
Phone (859) 537-0667

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131231001903 KY Practitioner - Chiropractic 3577791284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellington Family Chiropractic LLCGroup PAC ID 4587892294, 2 clinicians

Practice addresses (Care Compare)

535 Wellington Way
Suite 270
Lexington, KY 40503-1331
Phone (859) 309-1996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038010948ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellington Family Chiropractic LLC Chiropractor CurrentSince Sep 16, 2013 Accepting new patients

Locations

535 Wellington Way
Ste 270
Lexington, KY 40503
Phone (859) 309-1996

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1912198714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 CECIL WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032101",
            "telephone_number": "859-537-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 WELLINGTON WAY",
            "address_2": "SUITE 270",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031385",
            "telephone_number": "859-309-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNTNEY",
        "first_name": "IAN",
        "middle_name": "MARCUS",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010948",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.