John Michael Self Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0000001403 Issued in TN

Practice address

115 Gresham Rd
Knoxville, TN 37918-3209

Phone

(865) 687-7600

Fax

(865) 687-7766

NPI assigned

May 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Self Health and Wellness Center, LLC

  • Chiropractor
  • Knoxville, TN
  • NPI 1629260831
  Medicare reassignment NPD Authorized official
• Apt Fairhope LLC

  dba Trina Health of Fairhope

  • Infusion Therapy Clinic/Center
  • Fairhope, AL
  • NPI 1336545946
  NPD (past)
• Integrative Medicine Centre LLC

  • Chiropractor
  • Fairhope, AL
  • NPI 1114192812
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1073722443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 GRESHAM ROAD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379183209",
            "telephone_number": "865-687-7600",
            "fax_number": "865-687-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 GRESHAM RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379183209",
            "telephone_number": "865-687-7600",
            "fax_number": "865-687-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELF",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "0000001403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb Thomas Selby, PHARMD
• Select Physical Therapy Holdings, Inc.
• Select Specialty Hospital - Knoxville Inc
• Self Health and Wellness Center, LLC
• Ashley Nichole Self, NP
• Kari Michelle Self, NP
• Tiffany Self
• Ashley Bragg Sellers, PHARMD
• Genna Sellers, PHARM.D.
• Kalen Michael Sellers

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.