Align Chiropractic, PLLC
Organization Active NPI Chiropractor · Union City, TN
NPI 1093022600 · NPPES record last updated Aug 19, 2013
Key facts
- NPI
- 1093022600
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2356 (TN)
- Legal business name
- ALIGN CHIROPRACTIC, PLLC
- Practice address
- 1003 E Reelfoot Ave Ste 4
Union City, TN 38261-5871 - Phone
- (731) 885-0461
- NPI assigned
- Sep 2, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Ross Myracle Clark, D.C.
- Title
- Chiropractic Physician
- Phone
- (731) 885-0461
Practitioners 2
-
Ross Myracle Clark, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140113000218 | TN | Part B Supplier - Clinic/Group Practice | 7618103979 |
Receives reassigned benefits from 2 practitioners Practice locations: Union City, TN |
National Provider Directory
Locations
936 Highway 51 N
Ripley, TN 38063
Phone (731) 324-3061
1003 E Reelfoot Ave
Ste 4
Union City, TN 38261
Phone (731) 599-9766
Interoperability endpoints
- align@acp0011.direct.chirotouch.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2356 | TN | Yes |
Addresses
Primary practice location
1003 E Reelfoot Ave Ste 4
Union City, TN 38261-5871
Mailing address
1003 E Reelfoot Ave Ste 4
Union City, TN 38261-5871
Phone (731) 885-0461
Other providers in Union City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.