Organization Active NPI

Align Care Chiropractic Center, PLLC

  • Chiropractor
  • Somerset, KY
National Provider Identifier
1972833358
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4896 Issued in KY
Legal business name
ALIGN CARE CHIROPRACTIC CENTER, PLLC
Practice address
111 W Highway 80
Suite B
Somerset, KY 42503-2725
Phone
(606) 451-0564
Fax
(606) 451-0565
NPI assigned
Jan 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Dr. Angie A Wilson, DC
Title
Owner
Phone
(606) 706-0664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4896 KY Primary

Addresses

Primary practice location

111 W Highway 80
Suite B
Somerset, KY 42503-2725

Mailing address

111 W Highway 80
Suite B
Somerset, KY 42503-2725
Phone (606) 451-0564

Other identifiers 4

IdentifierTypeStateIssuer
01286001OtherINDIVIDUAL PTAN
01286OtherGROUP PTAN
7100109460MedicaidKY
1568423614OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

44 Sarahs Ln
Somerset, KY 42503
Phone (606) 451-0564

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1972833358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W HIGHWAY 80",
            "address_2": "SUITE B",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032725",
            "telephone_number": "606-451-0564",
            "fax_number": "606-451-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W HIGHWAY 80",
            "address_2": "SUITE B",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032725",
            "telephone_number": "606-451-0564",
            "fax_number": "606-451-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIGN CARE CHIROPRACTIC CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-706-0664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "01286001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "01286",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100109460",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1568423614",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.