Organization Active NPI

Chiropractic Compliance Consulting LLC

Doing business as Chiropractic Care Of Lexington

  • Chiropractor
  • Lexington, KY
National Provider Identifier
1992126882
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5160 Issued in KY
Legal business name
CHIROPRACTIC COMPLIANCE CONSULTING LLC
Doing business as
Chiropractic Care Of Lexington
Practice address
2121 Richmond Rd
Suite115
Lexington, KY 40502-1206
Phone
(859) 272-0002
Fax
(859) 264-0916
NPI assigned
Dec 19, 2013
Last updated
Jul 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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

Authorized official

Name
Dr. Tiffany Mack Daniels, DCNPI 1386880912
Title
President
Phone
(859) 272-0002

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5160 KY Primary

Addresses

Primary practice location

2121 Richmond Rd
Suite115
Lexington, KY 40502-1206

Mailing address

2121 Richmond Rd
Suite115
Lexington, KY 40502-1206
Phone (859) 272-0002

Other identifiers 1

IdentifierTypeStateIssuer
7100074310MedicaidKY

Other names 1

  • Chiropractic Care Of Lexington Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140107001067 KY Part B Supplier - Clinic/Group Practice 5698903177 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, KY

National Provider Directory

National Provider Directory

Locations

2121 Richmond Rd
Ste 115
Lexington, KY 40502
Phone (859) 272-0002

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1992126882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 RICHMOND RD",
            "address_2": "SUITE115",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405021206",
            "telephone_number": "859-272-0002",
            "fax_number": "859-264-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 RICHMOND RD",
            "address_2": "SUITE115",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405021206",
            "telephone_number": "859-272-0002",
            "fax_number": "859-264-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC COMPLIANCE CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-19",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "MACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-272-0002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100074310",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Care Of Lexington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 25, 2014; 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.

Verify at the official NPI Registry.