Randall Allan Wheeler, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4773 Issued in KY

Practice address

9425 Westport Rd
Louisville, KY 40241-2219

Phone

(502) 326-5000

Fax

(502) 326-9730

NPI assigned

Sep 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gable Chiropractic, PSC

  • Chiropractor
  • Louisville, KY
  • NPI 1033277298
  Medicare reassignment Authorized official
• Evans Chiropractic PSC

  • Clinic/Center
  • Louisville, KY
  • NPI 1922124148
  NPD (past)

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1992990683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425 WESTPORT RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412219",
            "telephone_number": "502-326-5000",
            "fax_number": "502-326-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9425 WESTPORT RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412219",
            "telephone_number": "502-326-5000",
            "fax_number": "502-326-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "RANDALL",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0937101",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85003085",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY BCBS",
            "identifier": "000000340302",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Louise Wheeler
• Kristen R Wheeler, PA-C
• Lori Wheeler
• Mark Randall Wheeler, M.D.
• Patricia W Wheeler, MD
• Samantha Wheeler, RBT
• Sarah Wheeler II, PHARMD
• Shannon Smith Wheeler, DMD
• Stephen Frank Wheeler, MD
• Carson Wheeless, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.