Active NPI
Innate Chiropractic, PLLC
- Chiropractor
- Louisville, KY
National Provider Identifier
1952817488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- INNATE CHIROPRACTIC, PLLC
- Practice address
- 310 E Broadway Ste 102
Louisville, KY 40202-1745 - Phone
- (502) 600-0858
- Fax
- (502) 953-0862
- NPI assigned
- Dec 20, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Reeson Earl Flores, DC
- Title
- Member Manager
- Phone
- (502) 600-0858
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
310 E Broadway Ste 102
Louisville, KY 40202-1745
Mailing address
310 E Broadway Ste 102
Louisville, KY 40202-1745
Phone (502) 600-0858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
310 E Broadway
Ste 102
Louisville, KY 40202
Phone (502) 600-0858
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Louisville, KY
- NPI 1427192558
-
- Clinical Social Worker
- Durham, NC
- NPI 1992108658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643587200000",
"number": "1952817488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 E BROADWAY STE 102",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021745",
"telephone_number": "502-600-0858",
"fax_number": "502-953-0862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 E BROADWAY STE 102",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021745",
"telephone_number": "502-600-0858",
"fax_number": "502-953-0862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNATE CHIROPRACTIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-20",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A",
"authorized_official_last_name": "FLORES",
"authorized_official_first_name": "REESON",
"authorized_official_middle_name": "EARL",
"authorized_official_title_or_position": "MEMBER MANAGER",
"authorized_official_telephone_number": "502-600-0858",
"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": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
- Injury Relief Center of South Louisville Chiropractic & Rehab
- Injury-Care Associates and Chiropractic Center of Ky LLC
- Lockie C Inlow, MAMFT
- Ryan Cooper Inman, D.C.
- Susan Michele Inman, CRT
- Adesuwa Inneh, MD
- Inner Peace Therapeutic Services, LLC
- Innovage Kentucky Pace- Louisville, LLC
- Innovations Therapeutic Services of Kentucky, LLC
- Innovative Family Therapy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.