Southside Chiropractic PSC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SOUTHSIDE CHIROPRACTIC PSC

Practice address

3198 Custer Dr Ste 100
Lexington, KY 40517-4000

Phone

(859) 373-0800

Fax

(859) 255-4104

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Darryl R Gregory, DCNPI 1851471346

Title

Chiropractor

Phone

(859) 373-0800

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Darryl R Gregory, DC

  • Chiropractor
  • Lexington, KY
  • NPI 1851471346
  Authorized official Same address or phone

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1942380423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3198 CUSTER DR STE 100",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174000",
            "telephone_number": "859-373-0800",
            "fax_number": "859-255-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3198 CUSTER DR STE 100",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174000",
            "telephone_number": "859-373-0800",
            "fax_number": "859-255-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE CHIROPRACTIC PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "859-373-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000209773",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85002269",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lenna Kellie Southers, PHARMD
• Southland Child, Adult, and Family Counseling
• Southland Counseling and Assessment Center
• Southland Psychiatry
• Southside Chiropractic
• Stacy Southwood
• Taylor Southwood
• Caitlin Southworth
• Joseph J Souza, M.D.
• Ellie Sowder

• Chiropractor in Lexington, KY
• Providers in Lexington, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.