Sport and Wellness Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

02667 Issued in TN

Legal business name

SPORT AND WELLNESS CHIROPRACTIC, PLLC

Practice address

10426 Jackson Oaks Way
Ste 102
Knoxville, TN 37922-0711

Phone

(865) 219-3570

NPI assigned

Mar 12, 2015

Organization subpart

No

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

Authorized official

Name

Dr. John Robert Dandelski, D.C.NPI 1417259458

Title

Owner / Chiropractic Physician

Phone

(865) 219-3570

Specialties & licenses 1

Addresses

Tax ID family

Sport and Wellness Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sport and Wellness Chiropractic

  • Chiropractor
  • Annandale, VA
  • NPI 1124320163
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John R Dandelski, D.C.

  • Chiropractor
  • Knoxville, TN
  • NPI 1417259458
  NPD (past) Authorized official

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1003209180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10426 JACKSON OAKS WAY",
            "address_2": "STE 102",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379220711",
            "telephone_number": "865-219-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10426 JACKSON OAKS WAY",
            "address_2": "STE 102",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379220711",
            "telephone_number": "865-219-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT AND WELLNESS CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "DANDELSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER / CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "865-219-3570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "02667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Richard Spires, DO
• Spirit Prosthetics
• Kathryn Anne Spittler, LPC-MHSP
• Taylor Faith Spoo, APRN
• Libby R. Spoon, RN
• Sports Therapy of Knoxville, LLC
• Steven Lloyd Spost Jr.
• Amy G. Spradling, M.A., CCC-SLP
• Laura Jane Spranklin, DO
• Emily S Spratling, RN

• Chiropractor in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.