Joseph A Flannagan, D.C.
Individual provider Active NPI Chiropractor · Burkesville, KY
NPI 1992954341 · NPPES record last updated Feb 7, 2019
Key facts
- NPI
- 1992954341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5153 (KY)
- Practice address
- 390 Keen St
Burkesville, KY 42717 - Phone
- (270) 864-1774
- Fax
- (801) 820-3309
- NPI assigned
- Sep 10, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
390 Keen St
Burkesville, KY 42717-7682
Phone (270) 864-1774
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081024000039 | KY | Practitioner - Chiropractic | 2163580838 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5153 | KY | MD | Chiropractor |
| 2927 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Chiropractic, PSC | Chiropractor | Past | Accepting new patients |
| True Family Chiropractic, PSC | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5153 | KY | Yes |
Addresses
Primary practice location
390 Keen St
Burkesville, KY 42717
Mailing address
PO Box 294
Burkesville, KY 42717-0294
Other practice location 1
404 Courthouse Sq
Burkesville, KY 42717
Phone (270) 864-1774
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100073730 | Medicaid | KY |
Other providers in Burkesville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.