John W. Edwards, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0000001877 Issued in TN

Practice address

3105 Alcoa Hwy Ste H
Knoxville, TN 37920-4783

Phone

(865) 573-5652

Fax

(865) 573-5654

NPI assigned

Feb 28, 2007

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

Other, 2002

Medicare assignment

May accept Medicare assignment

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.

• Cornerstone Chiropractic, Inc.

  • Chiropractor
  • Knoxville, TN
  • NPI 1245679109
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093842833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 ALCOA HWY STE H",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379204783",
            "telephone_number": "865-573-5652",
            "fax_number": "865-573-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 ALCOA HWY STE H",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379204783",
            "telephone_number": "865-573-5652",
            "fax_number": "865-573-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JOHN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "0000001877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4048509",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Marie Edwards, PT OCS
• Emily Mithoefer Edwards, DO
• Eva Renay Edwards
• Jacob Daniel Edwards, M.D.
• Joellen Beth Edwards
• Kim Edwards
• Landon S Edwards, MD
• Mary Michelle Edwards, ATC
• Matthew Erickson Edwards, D.O.
• Megan D. Edwards, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.