Tennessee Valley Clinic of Chiropractic PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

DC0000002218 Issued in TN

Legal business name

TENNESSEE VALLEY CLINIC OF CHIROPRACTIC PC

Practice address

304 1St Ave
Dayton, TN 37321-1290

Phone

(423) 775-6688

Fax

(423) 775-8777

NPI assigned

Mar 30, 2009

Last updated

Mar 30, 2009By 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

Dr. Kevin Joel Moore, D.C.NPI 1023069176

Title

President

Phone

(423) 775-6688

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

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.

• Kevin Joel Moore, DC

  • Chiropractor
  • Davenport, IA
  • NPI 1023069176

  TN

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1073755575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 996",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373210996",
            "telephone_number": "423-775-6688",
            "fax_number": "423-775-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 1ST AVE",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373211290",
            "telephone_number": "423-775-6688",
            "fax_number": "423-775-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE VALLEY CLINIC OF CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-775-6688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TN",
            "license": "DC0000002218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Steven Swafford, MD
• Elizabeth Caitlin Swafford, DPT
• Shannan M Swafford, DHA
• Kristina Elizabeth Tedford, PHARMD
• Tennessee Valley Bone and Joint LLC
• The Transformation Center
• Thomas P. Bovine MD
• Angela Taylor Thompson, LPN
• Jeffery W Thompson, PHD
• Amy Thurman, RN

• Health Service Clinic/Center in Dayton, TN
• Providers in Dayton, TN by specialty
• Health Service Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.