Organization Active NPI

Exodus Chiropractic of Franklin, LLC

  • Chiropractor
  • Franklin, TN
National Provider Identifier
1053698217
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EXODUS CHIROPRACTIC OF FRANKLIN, LLC
Practice address
120 Seaboard LN Side B
Franklin, TN 37067-8218
Phone
(615) 435-3654
Fax
(615) 628-8044
NPI assigned
Nov 15, 2011
Last updated
Mar 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Authorized official

Name
Dr. Christopher M Boles, D.C.NPI 1891076790
Title
Chiropractor/Owner
Phone
(615) 435-3654

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 2520 TN
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

120 Seaboard LN Side B
Franklin, TN 37067-8218

Mailing address

120 Seaboard LN Side B
Franklin, TN 37067-8218
Phone (615) 435-3654

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111116000760 TN Part B Supplier - Clinic/Group Practice 7618141219 Receives reassigned benefits from 1 practitioner
Practice locations: Franklin, TN

National Provider Directory

National Provider Directory

Locations

120 Seaboard Ln
Side B
Franklin, TN 37067
Phone (615) 435-3654

9050 Carothers Pkwy
Ste 105
Franklin, TN 37067
Phone (615) 435-3654

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1053698217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SEABOARD LN SIDE B",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678218",
            "telephone_number": "615-435-3654",
            "fax_number": "615-628-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SEABOARD LN SIDE B",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678218",
            "telephone_number": "615-435-3654",
            "fax_number": "615-628-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXODUS CHIROPRACTIC OF FRANKLIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-15",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "BOLES",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "615-435-3654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TN",
            "license": "2520",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "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 Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.