Healthsource of Cleveland PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2339 Issued in TN

Legal business name

HEALTHSOURCE OF CLEVELAND PLLC

Practice address

4645 N Lee Hwy
Cleveland, TN 37312-4042

Phone

(423) 710-2443

Fax

(423) 475-6407

NPI assigned

Nov 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jacob J Becker, D.C.

Title

Owner

Phone

(423) 710-2443

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jakob Taylor, D.C.

  • Chiropractor
  • Chattanooga, TN
  • NPI 1093007007
  NPD (past)

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1073858239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 N LEE HWY",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124042",
            "telephone_number": "423-710-2443",
            "fax_number": "423-475-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 N LEE HWY",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124042",
            "telephone_number": "423-710-2443",
            "fax_number": "423-475-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE OF CLEVELAND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-710-2443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Hays, PHARMD
• William Augustus Hays, M.D.
• Austin Hazlewood, DO
• Heal and Hope Counseling Services LLC
• Healing Bonds Counseling LLC
• Hearing Well, Inc.
• Hearts Set Free
• Hannah Heath, BCBA
• Allison Heaton, LPC-MHSP
• Richard W Heinl, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.