Individual provider Active NPI

Theodore Demosthenis Kousouli, D.C., CHT.

  • Chiropractor
  • Franklin, TN
National Provider Identifier
1023280476
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC3349 Issued in TN
Practice address
198 E Main St Ste 204
Franklin, TN 37064-2569
Phone
(615) 435-3643
NPI assigned
Mar 26, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC30120 CA
Chiropractor 111N00000X DC3349 TN Primary

Addresses

Primary practice location

198 E Main St Ste 204
Franklin, TN 37064-2569

Mailing address

198 E Main St Ste 204
Franklin, TN 37064-2569
Phone (615) 435-3643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC30120CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1023280476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 E MAIN ST STE 204",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370642569",
            "telephone_number": "615-435-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 E MAIN ST STE 204",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370642569",
            "telephone_number": "615-435-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUSOULI",
        "first_name": "THEODORE",
        "middle_name": "DEMOSTHENIS",
        "name_prefix": "Dr.",
        "credential": "D.C., CHT.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-26",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30120",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC3349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.