Individual provider Active NPI

Samuel Thomas Stewart, D.C.

  • Chiropractor
  • Hendersonville, TN
National Provider Identifier
1043571110
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2588 Issued in TN
Practice address
104 Glen Oak Blvd
Ste 140
Hendersonville, TN 37075-6423
Phone
(615) 924-2668
NPI assigned
Jun 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 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 2588 TN Primary

Addresses

Primary practice location

104 Glen Oak Blvd
Ste 140
Hendersonville, TN 37075-6423

Mailing address

1070 W Main St
1403
Hendersonville, TN 37075-2858
Phone (615) 924-2668

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120703000599 TN Practitioner - Chiropractic 4688839228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stewart Chiropractic Center PCGroup PAC ID 7315102951, 3 clinicians

Practice addresses (Care Compare)

326 New Shackle Island Rd
Suite 100
Hendersonville, TN 37075-6421
Phone (615) 447-5088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2588TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stewart Chiropractic Center PC Chiropractor CurrentSince May 30, 2012 Accepting new patients
Stewart Chiropractic Center PC Chiropractor Past Accepting new patients

Locations

104 Glen Oak Blvd
Ste 140
Hendersonville, TN 37075
Phone (615) 767-0114

326 New Shackle Island Rd
Ste 100
Hendersonvlle, TN 37075
Phone (615) 447-5088

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": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1043571110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 W MAIN ST",
            "address_2": "1403",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752858",
            "telephone_number": "615-924-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 GLEN OAK BLVD",
            "address_2": "STE 140",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756423",
            "telephone_number": "615-924-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "SAMUEL",
        "middle_name": "THOMAS",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.