100 Percent Chiropractic Nashville Two

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

CHIR009366 Issued in GA

Legal business name

100 PERCENT CHIROPRACTIC NASHVILLE TWO

Practice address

2805 Old Fort Pkwy
Suite D
Murfreesboro, TN 37128-5115

Phone

(615) 956-7004

NPI assigned

Aug 3, 2016

Last updated

Aug 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Jackson, D.C.NPI 1164879565

Title

Chiropractor/Owner

Phone

(770) 733-9297

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Jackson, DC

  • Chiropractor
  • Murfreesboro, TN
  • NPI 1164879565
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1093269342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 OLD FORT PKWY",
            "address_2": "SUITE D",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371285115",
            "telephone_number": "615-956-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 OLD FORT PKWY",
            "address_2": "SUITE D",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371285115",
            "telephone_number": "615-956-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "100 PERCENT CHIROPRACTIC NASHVILLE TWO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "770-733-9297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "CHIR009366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Medical Specialty Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.