Organization Active NPI

Mt Juliet Chiropractic PC

  • Chiropractor
  • Mount Juliet, TN
National Provider Identifier
1093862922
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MT JULIET CHIROPRACTIC PC
Practice address
2345 N Mount Juliet Rd
Mount Juliet, TN 37122-3037
Phone
(615) 758-8978
Fax
(615) 758-8995
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Authorized official

Name
Dr. Robin M Proetta, D.C.
Title
Secretary of Corp
Phone
(615) 758-8978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2345 N Mount Juliet Rd
Mount Juliet, TN 37122-3037

Mailing address

2345 N Mount Juliet Rd
Mount Juliet, TN 37122-3037
Phone (615) 758-8978

National Provider Directory

National Provider Directory

Locations

2345 N Mount Juliet Rd
Mt Juliet, TN 37122
Phone (615) 758-8978

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680825600000",
    "number": "1093862922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 N MOUNT JULIET RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223037",
            "telephone_number": "615-758-8978",
            "fax_number": "615-758-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 N MOUNT JULIET RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223037",
            "telephone_number": "615-758-8978",
            "fax_number": "615-758-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT JULIET CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A",
        "authorized_official_last_name": "PROETTA",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SECRETARY OF CORP",
        "authorized_official_telephone_number": "615-758-8978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.