Active NPI
Advanced Care Chiropractic and Rehab
- Chiropractor
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC0000001283
- Legal business name
- ADVANCED CARE CHIROPRACTIC AND REHAB
- Practice address
- 3043 Boones Creek Rd Ste 107
Johnson City, TN 37615-4959 - Phone
- (423) 929-2225
- Fax
- (888) 639-0839
- NPI assigned
- Oct 26, 2015
- Last updated
- Oct 26, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kevin Douglas Fielden, D.C.
- Title
- Chiropractic Physician
- Phone
- (423) 929-2225
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC0000001283 | TN | Primary |
Addresses
Primary practice location
3043 Boones Creek Rd Ste 107
Johnson City, TN 37615-4959
Mailing address
3043 Boones Creek Rd Ste 107
Johnson City, TN 37615-4959
Phone (423) 929-2225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3032514 | Other | BLUE CROSS BLUE SHIELD OF TENNESSEE |
National Provider Directory
National Provider DirectoryLocations
3043 Boones Creek Rd
Ste 107
Johnson City, TN 37615
Phone (423) 929-2225
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Johnson City, TN
- NPI 1891784146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445817600000",
"number": "1013389469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3043 BOONES CREEK RD STE 107",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376154959",
"telephone_number": "423-929-2225",
"fax_number": "888-639-0839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3043 BOONES CREEK RD STE 107",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376154959",
"telephone_number": "423-929-2225",
"fax_number": "888-639-0839"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED CARE CHIROPRACTIC AND REHAB",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-26",
"last_updated": "2015-10-26",
"status": "A",
"authorized_official_last_name": "FIELDEN",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "DOUGLAS",
"authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
"authorized_official_telephone_number": "423-929-2225",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "DC0000001283",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF TENNESSEE",
"identifier": "3032514",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.