Organization Active NPI

Greeneville Chiropractic Inc

  • Chiropractor
  • Greeneville, TN
National Provider Identifier
1043497498
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0000000104 Issued in TN
Legal business name
GREENEVILLE CHIROPRACTIC INC
Practice address
155 Mason St
Greeneville, TN 37745-4014
Phone
(423) 638-5361
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Authorized official

Name
Mr. Leonard Hartman, DCNPI 1073720587
Title
President/Ceo
Phone
(423) 638-5361

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC0000000104 TN Primary

Addresses

Primary practice location

155 Mason St
Greeneville, TN 37745-4014

Mailing address

155 Mason St
Greeneville, TN 37745-4014
Phone (423) 638-5361

Other identifiers 2

IdentifierTypeStateIssuer
4157073OtherTNBCBS
3728569MedicaidTN

National Provider Directory

National Provider Directory

Locations

155 Mason St
Greeneville, TN 37745
Phone (423) 638-2784

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1043497498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MASON ST",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454014",
            "telephone_number": "423-638-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MASON ST",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454014",
            "telephone_number": "423-638-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENEVILLE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "423-638-5361",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000000104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4157073",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3728569",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.