Organization Active NPI

Mt. Juliet Spine and Pain Management, PLLC

  • General Practice Physician
  • Mount Juliet, TN
National Provider Identifier
1124228416
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD0000017958 Issued in TN
Legal business name
MT. JULIET SPINE AND PAIN MANAGEMENT, PLLC
Practice address
105 Industrial Dr Ste 7
Mount Juliet, TN 37122-3168
Phone
(615) 758-7575
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Authorized official

Name
Dr. Michael Anthony Swiercz, D.C.
Title
Owner
Phone
(615) 758-7575

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2193 TN
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X MD0000017958 TN Primary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X APN0000012953 TN

Addresses

Primary practice location

105 Industrial Dr Ste 7
Mount Juliet, TN 37122-3168

Mailing address

105 Industrial Dr Ste 7
Mount Juliet, TN 37122-3168
Phone (615) 758-7575

Other names 1

  • Swiercz Chiropractic, PLLC 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": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1124228416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 INDUSTRIAL DR STE 7",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223168",
            "telephone_number": "615-758-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 INDUSTRIAL DR STE 7",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223168",
            "telephone_number": "615-758-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. JULIET SPINE AND PAIN MANAGEMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "SWIERCZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-758-7575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2193",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TN",
            "license": "MD0000017958",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "APN0000012953",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swiercz Chiropractic, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Mar 8, 2010; 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.