Active NPI
Rodrick C. Hahn, D.C.
- Chiropractor
- Louisville, KY
National Provider Identifier
1922021575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4365
- Practice address
- 1679 Old Preston Hwy N
Suite 6
Louisville, KY 40229-3297 - Phone
- (502) 957-1021
- Fax
- (502) 957-1703
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4365 | KY | Primary |
Addresses
Primary practice location
1679 Old Preston Hwy N
Suite 6
Louisville, KY 40229-3297
Mailing address
1679 Old Preston Hwy N
Suite 6
Louisville, KY 40229-3297
Phone (502) 957-1021
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 244548000-2445427000 | Other | KY | PASSPORT ADVANTAGE |
| 000000041631 | Other | KY | ANTHEM |
| 5674124 | Other | KY | CIGNA |
| 85002988 | Medicaid | KY | |
| P00154881 | Other | KY | RAILROAD MEDICARE PIN |
| 44-00228 | Other | KY | UNITED HEALTHCARE |
| 2426754 | Other | KY | AETNA |
| DC2130 | Other | KY | RAILROAD MEDICARE GROUP # |
| 50004038-50004037 | Other | KY | PASSPORT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1679 Old Preston Hwy N
Suite 6
Louisville, KY 40229-3297
Phone (502) 957-1021
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4365 | KY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crackerback, Inc | Chiropractor | Current | Accepting new patients |
Locations
1679 Old Preston Hwy N
Ste 6
Louisville, KY 40229
Phone (502) 957-1021
1679 Old Preston Hwy N
Louisville, KY 40229
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.
-
- Chiropractor
- Louisville, KY
- NPI 1548430747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204502400000",
"number": "1922021575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1679 OLD PRESTON HWY N",
"address_2": "SUITE 6",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402293297",
"telephone_number": "502-957-1021",
"fax_number": "502-957-1703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1679 OLD PRESTON HWY N",
"address_2": "SUITE 6",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402293297",
"telephone_number": "502-957-1021",
"fax_number": "502-957-1703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAHN",
"first_name": "RODRICK",
"middle_name": "C.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2008-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4365",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE",
"identifier": "244548000-2445427000",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000041631",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5674124",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85002988",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "P00154881",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "44-00228",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2426754",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP #",
"identifier": "DC2130",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50004038-50004037",
"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 Mar 3, 2008; 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.