Russellville Chiropractic, L.L.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4373 Issued in KY

Legal business name

RUSSELLVILLE CHIROPRACTIC, L.L.C.

Practice address

909 West Ninth Street
Suite a
Russellville, KY 42276-9764

Phone

(270) 726-4600

Fax

(270) 726-4604

NPI assigned

Dec 19, 2007

Last updated

Mar 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Alan Poe, D.C.NPI 1649301284

Title

Owner

Phone

(270) 726-4600

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

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.

• David Alan Poe, D.C.

  • Chiropractor
  • Russellville, KY
  • NPI 1649301284
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1952585408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 WEST NINTH STREET",
            "address_2": "SUITE A",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422769764",
            "telephone_number": "270-726-4600",
            "fax_number": "270-726-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 WEST NINTH STREET",
            "address_2": "SUITE A",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422769764",
            "telephone_number": "270-726-4600",
            "fax_number": "270-726-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELLVILLE CHIROPRACTIC, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "POE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-726-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100338120",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85043735",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riley-White Inc
• Alannah Whitney Robertson, SLP-CCC
• Rollins Bedford Corporation (Russellville Health Care Manor)
• RP Speech Services LLC
• Russellville Chiropractic L.L.C.
• Russellville Diagnostic Imaging
• Russellville Ind. Schools
• Russellville Independent Schools
• Russellville Ky Opco LLC (Creekwood Nursing & Rehabilitation)
• Salim C Saba, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.