Organization Active NPI

Center for Arthritis & Osteoporosis

  • Rheumatology Physician
  • Elizabethtown, KY
National Provider Identifier
1972501559
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
30757 Issued in KY
Legal business name
CENTER FOR ARTHRITIS & OSTEOPOROSIS
Practice address
584 Westport Rd
Suite 101
Elizabethtown, KY 42701-2987
Phone
(270) 769-2535
Fax
(270) 769-9020
NPI assigned
Jul 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daksha P Mehta, MD
Title
Owner/President
Phone
(270) 769-2535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 30757 KY Primary

Addresses

Primary practice location

584 Westport Rd
Suite 101
Elizabethtown, KY 42701-2987

Mailing address

584 Westport Rd
Suite 101
Elizabethtown, KY 42701-2987
Phone (270) 769-2535

Other identifiers 1

IdentifierTypeStateIssuer
69535843MedicaidKY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972501559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 WESTPORT RD",
            "address_2": "SUITE 101",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012987",
            "telephone_number": "270-769-2535",
            "fax_number": "270-769-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 WESTPORT RD",
            "address_2": "SUITE 101",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012987",
            "telephone_number": "270-769-2535",
            "fax_number": "270-769-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ARTHRITIS & OSTEOPOROSIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "DAKSHA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "270-769-2535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "KY",
            "license": "30757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69535843",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.