Jacob Victor Meseck, D.C.
Individual provider Active NPI Chiropractor · Fairview, TN
NPI 1104065630 · NPPES record last updated Jan 10, 2019
Key facts
- NPI
- 1104065630
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2322 (TN)
- Practice address
- 2199 Fairview Blvd
Fairview, TN 37062-9010 - Phone
- (615) 266-2213
- Fax
- (615) 266-2365
- NPI assigned
- Feb 6, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2199 Fairview Blvd
Fairview, TN 37062-9032
Phone (615) 266-2213
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110802000347 | TN | Practitioner - Chiropractic | 4789860909 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2322 | TN | MD | Anatomic Pathology & Clinical Pathology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2322 | TN | Yes |
Addresses
Primary practice location
2199 Fairview Blvd
Fairview, TN 37062-9010
Mailing address
2199 Fairview Blvd
Fairview, TN 37062-9010
Phone (615) 266-2213
Other providers in Fairview, TN
- Mercy Health Service - Fairview High School
- Mercy Health Services - Fairview Elementary School
- Mercy Health Services - Fairview Middle School
- Mercy Health Services - Westwood Elementary School
- Meseck Family Chiropractic LLC
- Jolynne R Meseck
- Amanda Dean Miller
- Milligan & Associates
- Olan Ray Milligan
- Nash Eye Care PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2019. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.