Organization Active NPI

McMurtrey Chiropractic

  • Chiropractor
  • Edmonton, KY
National Provider Identifier
1942519798
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4993 Issued in KY
Legal business name
MCMURTREY CHIROPRACTIC
Practice address
106 W Stockton St
Edmonton, KY 42129-9403
Phone
(270) 432-5656
Fax
(270) 432-5658
NPI assigned
Sep 28, 2010
Last updated
Jun 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Dr. Kelly McMurtrey Thompson, D.C.
Title
Owner
Phone
(270) 432-5656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4993 KY Primary

Addresses

Primary practice location

106 W Stockton St
Edmonton, KY 42129-9403

Mailing address

106 W Stockton St
Edmonton, KY 42129-9403
Phone (270) 432-5656

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110308000197 KY Part B Supplier - Clinic/Group Practice 7911189279 Receives reassigned benefits from 1 practitioner
Practice locations: Edmonton, KY

National Provider Directory

National Provider Directory

Locations

106 W Stockton St
Edmonton, KY 42129
Phone (270) 432-5656

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1942519798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W STOCKTON ST",
            "city": "EDMONTON",
            "state": "KY",
            "postal_code": "421299403",
            "telephone_number": "270-432-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W STOCKTON ST",
            "city": "EDMONTON",
            "state": "KY",
            "postal_code": "421299403",
            "telephone_number": "270-432-5656",
            "fax_number": "270-432-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMURTREY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "MCMURTREY THOMPSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-432-5656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.