Organization Active NPI

Evans Chiropractic PSC

  • Clinic/Center
  • Louisville, KY
National Provider Identifier
1922124148
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4122 Issued in KY
Legal business name
EVANS CHIROPRACTIC PSC
Practice address
3071 Breckenridge LN
Louisville, KY 40220-2101
Phone
(502) 459-4150
Fax
(502) 459-4662
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Venessa Rae Evans
Title
Administrator
Phone
(502) 459-4150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4122 KY Primary

Addresses

Primary practice location

3071 Breckenridge LN
Louisville, KY 40220-2101

Mailing address

3071 Breckenridge LN
Louisville, KY 40220-2101
Phone (502) 459-4150

National Provider Directory

National Provider Directory

Locations

4919 Dixie Hwy
#H
Louisville, KY 40216
Phone (502) 448-8868

9423 Westport Rd
Louisville, KY 40241
Phone (502) 326-5000

9423 Westport Rd
Louisville, KY 40241

3071 Breckenridge Ln
Louisville, KY 40220
Phone (502) 459-4150

Practitioners & affiliated clinicians

Practitioners 8

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922124148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3071 BRECKENRIDGE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402202101",
            "telephone_number": "502-459-4150",
            "fax_number": "502-459-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3071 BRECKENRIDGE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402202101",
            "telephone_number": "502-459-4150",
            "fax_number": "502-459-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS CHIROPRACTIC PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "VENESSA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "502-459-4150",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KY",
            "license": "4122",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.