Charles Kenneth McClellan Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC0000001477 Issued in TN

Practice address

718 Thompson LN
Suite 119
Nashville, TN 37204-3612

Phone

(615) 292-2797

Fax

(615) 467-0963

NPI assigned

Apr 6, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Chiropractic Nashville, PC

  • Chiropractor
  • Nashville, TN
  • NPI 1740479294
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1083676753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 THOMPSON LN",
            "address_2": "SUITE 119",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372043612",
            "telephone_number": "615-292-2797",
            "fax_number": "615-467-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 THOMPSON LN",
            "address_2": "SUITE 119",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372043612",
            "telephone_number": "615-292-2797",
            "fax_number": "615-467-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAN",
        "first_name": "CHARLES",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000001477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4118747",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary McClanahan, M.D.
• Brandon Green McClary, PA-C
• Tyler William McClatchey, PHARM.D
• Kara Lakayla McClearen, APRN
• Brenda McClellan
• Elijah Carl McClellan, DO
• Emma McClellan
• Jennifer McClellan, APRN, CNM
• Madelyn McClellan, PA-C
• Paul Michael McClellan, NP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.