Mountain Crest Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MOUNTAIN CREST CHIROPRACTIC

Practice address

205 Gifford PL
Joelton, TN 37080-8669

Phone

(330) 354-0305

NPI assigned

Oct 21, 2022

Last updated

Mar 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kolin McMillenNPI 1598431074

Title

Chiropractor

Phone

(615) 876-9936

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

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.

• Kolin McMillen, DC

  • Chiropractor
  • Akron, OH
  • NPI 1598431074

  TN

  Medicare reassignment NPD Authorized official
• John L. Burley, D.C.

  • Neurology Chiropractor
  • Joelton, TN
  • NPI 1215969845
  NPD (past)

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1073230926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 GIFFORD PL",
            "city": "JOELTON",
            "state": "TN",
            "postal_code": "370808669",
            "telephone_number": "330-354-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 GIFFORD PL",
            "city": "JOELTON",
            "state": "TN",
            "postal_code": "370808669",
            "telephone_number": "330-354-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN CREST CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-21",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "MCMILLEN",
        "authorized_official_first_name": "KOLIN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "615-876-9936"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Juanita Fussman, MS, CCC-SLP
• Katie Hickerson, PHARMD
• Kejuanis Hughes
• Joelton Pharmacy LLC (Joelton Pharmacy)
• Gordon F McCammon, D.D.S
• Ujwalkumar B Panhalkar, B.PHARM , M.PHARM
• Premium Trucking & Logistics, LLC
• Rebecca Womack
• Rnlife Lab and Wellness
• Ronnie Felts

• Chiropractor in Joelton, TN
• Providers in Joelton, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.