Organization Active NPI

Oak Ridge Chiropractic

  • Chiropractor
  • Oak Ridge, TN
National Provider Identifier
1114245123
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
OAK RIDGE CHIROPRACTIC
Practice address
176 Randolph Road
Oak Ridge, TN 37830
Phone
(615) 804-6276
NPI assigned
May 14, 2010
Last updated
May 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Authorized official

Name
Dr. Blake Michael Hardin, D.C.NPI 1396063384
Title
Co-Owner
Phone
(615) 804-6276

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

176 Randolph Road
Oak Ridge, TN 37830

Mailing address

176 Randolph Road
Oak Ridge, TN 37830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100908000301 TN Part B Supplier - Clinic/Group Practice 9931223302 Receives reassigned benefits from 2 practitioners
Practice locations: Oak Ridge, TN

National Provider Directory

National Provider Directory

Locations

176 Randolph Rd
Oak Ridge, TN 37830
Phone (615) 804-6276

550 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-8989

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": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1114245123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 RANDOLPH ROAD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "37830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 RANDOLPH ROAD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "37830",
            "telephone_number": "615-804-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK RIDGE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-14",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "615-804-6276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.