Jeffersontown Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JEFFERSONTOWN CHIROPRACTIC, INC.

Practice address

10131 Taylorsville Rd
Jeffersontown, KY 40299-3649

Phone

(502) 267-6444

Fax

(502) 267-6445

NPI assigned

Dec 15, 2008

Last updated

Jul 6, 2009By 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

Mr. Michael A Becking

Title

Treasurer

Phone

(970) 214-2360

Specialties & licenses 1

Addresses

Other identifiers 5

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1972748218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10131 TAYLORSVILLE RD",
            "city": "JEFFERSONTOWN",
            "state": "KY",
            "postal_code": "402993649",
            "telephone_number": "502-267-6444",
            "fax_number": "502-267-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10131 TAYLORSVILLE RD",
            "city": "JEFFERSONTOWN",
            "state": "KY",
            "postal_code": "402993649",
            "telephone_number": "502-267-6444",
            "fax_number": "502-267-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSONTOWN CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "BECKING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "970-214-2360",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9271191",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "586259",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50020127",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3141631",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "10654338786",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Michelle Highfill, MSN, APRN, FNP-C
• Dana Elizabeth Hughes, APRN-FNP
• Luke Collin Jankowski, DPT
• Jeffersontown Chiropractic Center
• Jeffersontown Chiropractic PLC
• Jeffersontown Fire Protection District Holding Company Inc
• Jeffersontown Medical PLLC
• Jeffersontown Opco, LLC (Jeffersontown Rehabilitation)
• Ebboni Johnson, TCADC
• Caroline Sue Jones, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.