Individual provider Active NPI

James Daniel Watkins, D.C.

  • Chiropractor
  • Knoxville, TN
National Provider Identifier
1023066479
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1854 Issued in TN
Practice address
10826 Kingston Pike
Suite B
Knoxville, TN 37934-3059
Phone
(865) 966-5885
Fax
(865) 966-5995
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1854 TN Primary

Addresses

Primary practice location

10826 Kingston Pike
Suite B
Knoxville, TN 37934-3059

Mailing address

10826 Kingston Pike
Suite B
Knoxville, TN 37934-3059
Phone (865) 966-5885

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050228000898 TN Practitioner - Chiropractic 4082666821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10826 Kingston Pike B
Knoxville, TN 37934-3059
Phone (865) 966-5885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1854TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteer Chiropractic, PC Chiropractor CurrentSince Feb 5, 2005 Accepting new patients
Back to Health Plus, PLLC Chiropractor Past Accepting new patients

Locations

10826 Kingston Pike
Ste B
Knoxville, TN 37934
Phone (865) 966-5885

Networks

  • MS PPO D-SNP
  • MS PPO C-SNP
  • MS PPO

Interoperability endpoints

  • Direct secure messaging: dw@vc0018.direct.chirotouch.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1023066479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10826 KINGSTON PIKE",
            "address_2": "SUITE B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379343059",
            "telephone_number": "865-966-5885",
            "fax_number": "865-966-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10826 KINGSTON PIKE",
            "address_2": "SUITE B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379343059",
            "telephone_number": "865-966-5885",
            "fax_number": "865-966-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "JAMES",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "1854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.