Organization Active NPI

Amodeo Chiropractic Center PA

Doing business as Amodeo Chiropractic Clinic

  • Durable Medical Equipment & Medical Supplies
  • Collierville, TN
National Provider Identifier
1114207123
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
DC173 Issued in TN
Legal business name
AMODEO CHIROPRACTIC CENTER PA
Doing business as
Amodeo Chiropractic Clinic
Practice address
777 W Poplar Ave
Suite 104
Collierville, TN 38017-2592
Phone
(901) 853-8270
Fax
(901) 854-5193
NPI assigned
Aug 22, 2011
Last updated
Jul 16, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
AMODEO CHIROPRACTIC CENTER, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Authorized official

Name
Mr. Steven R Amodeo, DCNPI 1578570453
Title
President
Phone
(901) 853-8270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X DC173 TN Primary

Addresses

Primary practice location

777 W Poplar Ave
Suite 104
Collierville, TN 38017-2592

Mailing address

PO Box 726
Collierville, TN 38027-0726
Phone (901) 853-8270

Other identifiers 1

IdentifierTypeStateIssuer
6688660001OtherTNMEDICARE PTAN

Other names 1

  • Amodeo Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
Steven Amodeo DC

Locations

777 W Poplar Ave
Ste 104
Collierville, TN 38017
Phone (901) 221-7175

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1114207123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380270726",
            "telephone_number": "901-853-8270",
            "fax_number": "901-854-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 W POPLAR AVE",
            "address_2": "SUITE 104",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172592",
            "telephone_number": "901-853-8270",
            "fax_number": "901-854-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMODEO CHIROPRACTIC CENTER PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMODEO CHIROPRACTIC CENTER, PA",
        "enumeration_date": "2011-08-22",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "AMODEO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-853-8270",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "DC173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "6688660001",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amodeo Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.