Douglass Edwin Andrews, D.C.

Individual provider Active NPI Chiropractor · Independence, KY

NPI 1922446665 · NPPES record last updated Apr 27, 2016

Key facts

NPI
1922446665
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
5462 (KY)
Practice address
6565 Taylor Mill Rd
Suite B
Independence, KY 41051-9267
Phone
(859) 356-8100
NPI assigned
Jun 4, 2013
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Logan College of Chiropractic, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6565 Taylor Mill Rd
Suite B
Independence, KY 41051-9267
Phone (859) 356-8100

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160513001749 KY Practitioner - Chiropractic 6901046267 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
4524OHMDChiropractor
4922-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Andrews Chiropractic LLC Chiropractor Current
since Apr 27, 2016
Accepting new patients
Schleicher Chiropractic, SC Chiropractor Past Accepting new patients
Giebler Chiropractic, LLC Chiropractor Past
since Jan 2, 2009
Accepting new patients

Locations

6565 Taylor Mill Rd
Ste B
Independence, KY 41051
Phone (859) 356-8100

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4922-12 WI
Chiropractor 111N00000X 5462 KY Yes
Chiropractor 111N00000X 4524 OH

Addresses

Primary practice location

6565 Taylor Mill Rd
Suite B
Independence, KY 41051-9267

Mailing address

6565 Taylor Mill Rd
Suite B
Independence, KY 41051-9267
Phone (859) 356-8100

Other providers in Independence, KY

All providers in Independence, KY · Chiropractor in Kentucky

Sources for this page

Verify at the official NPI Registry.