Active NPI
Vaibhav I Patel, DC
- Chiropractor
- Goodlettsville, TN
National Provider Identifier
1093026569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC0000002405
- Practice address
- 900 Conference Dr Ste 15a
Goodlettsville, TN 37072-1909 - Phone
- (615) 330-4149
- Fax
- (615) 448-6847
- NPI assigned
- Jun 29, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC0000002405 | TN | Primary |
Addresses
Primary practice location
900 Conference Dr Ste 15a
Goodlettsville, TN 37072-1909
Mailing address
900 Conference Dr Ste 15a
Goodlettsville, TN 37072-1909
Phone (615) 330-4149
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC0000002405 | TN | MD | Chiropractor |
| 2405 | TN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283299200000",
"number": "1093026569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 CONFERENCE DR STE 15A",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370721909",
"telephone_number": "615-330-4149",
"fax_number": "615-448-6847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 CONFERENCE DR STE 15A",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370721909",
"telephone_number": "615-330-4149",
"fax_number": "615-448-6847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "VAIBHAV",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-29",
"last_updated": "2010-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "DC0000002405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodlettsville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.