Individual provider Active NPI

Jacob M Parrish, DC

  • Chiropractor
  • Knoxville, TN
National Provider Identifier
1083944466
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2369 Issued in TN
Practice address
217 Fox Rd
Knoxville, TN 37922-3381
Phone
(865) 357-2600
Fax
(865) 357-2611
NPI assigned
Jan 6, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2369 TN Primary

Addresses

Primary practice location

217 Fox Rd
Knoxville, TN 37922-3381

Mailing address

217 Fox Rd
Knoxville, TN 37922-3381
Phone (865) 357-2600

Other practice location 1

2004 E Broadway Ave
Maryville, TN 37804-3033
Phone (865) 982-4301

Other identifiers 2

IdentifierTypeStateIssuer
11/14/1979OtherBIRTHDAY
2369OtherTNLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2369TNMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1083944466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 FOX RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223381",
            "telephone_number": "865-357-2600",
            "fax_number": "865-357-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 FOX RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223381",
            "telephone_number": "865-357-2600",
            "fax_number": "865-357-2611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2004 E Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "TN",
            "postal_code": "378043033",
            "country_code": "US",
            "telephone_number": "865-982-4301",
            "fax_number": "865-982-4302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "JACOB",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BIRTHDAY",
            "identifier": "11/14/1979",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "2369",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.