Organization Active NPI

Free Chiropractic Centre

  • Chiropractor
  • Cleveland, TN
National Provider Identifier
1114127305
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0000000031 Issued in TN
Legal business name
FREE CHIROPRACTIC CENTRE
Practice address
364 Hidden Oaks TRL NE
Cleveland, TN 37312-6741
Phone
(423) 310-1004
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Dr. Otis Forrester, DC
Title
President/Owner
Phone
(423) 479-4220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC0000000031 TN Primary

Addresses

Primary practice location

364 Hidden Oaks TRL NE
Cleveland, TN 37312-6741

Mailing address

364 Hidden Oaks TRL NE
Cleveland, TN 37312-6741
Phone (423) 310-1004

Other names 1

  • Ronald V. Free DC PC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1114127305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 HIDDEN OAKS TRL NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373126741",
            "telephone_number": "423-310-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 HIDDEN OAKS TRL NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373126741",
            "telephone_number": "423-310-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE CHIROPRACTIC CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "FORRESTER",
        "authorized_official_first_name": "OTIS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "423-479-4220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000000031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ronald V. Free DC PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Ronald V. Free DC PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.