Organization Active NPI

Hamburg Chiropractic & Functional Nutrition

  • Chiropractor
  • Lexington, KY
National Provider Identifier
1972057388
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HAMBURG CHIROPRACTIC & FUNCTIONAL NUTRITION
Practice address
1890 Star Shoot Pkwy
Suite 185
Lexington, KY 40509-4566
Phone
(859) 263-2774
Fax
(859) 263-2787
NPI assigned
Aug 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Authorized official

Name
Melissa Ann Leverette, DC
Title
Owner
Phone
(859) 263-2774

Specialties & licenses 1

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

Addresses

Primary practice location

1890 Star Shoot Pkwy
Suite 185
Lexington, KY 40509-4566

Mailing address

811 Leesburg Pike
Georgetown, KY 40324-9766
Phone (859) 263-2774

Other identifiers 1

IdentifierTypeStateIssuer
7100452230MedicaidKY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1972057388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 LEESBURG PIKE",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249766",
            "telephone_number": "859-263-2774",
            "fax_number": "859-263-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 STAR SHOOT PKWY",
            "address_2": "SUITE 185",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094566",
            "telephone_number": "859-263-2774",
            "fax_number": "859-263-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMBURG CHIROPRACTIC & FUNCTIONAL NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "LEVERETTE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-263-2774",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100452230",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.