Organization Active NPI

Launch Chiropractic LLC

  • Chiropractor
  • Germantown, TN
National Provider Identifier
1124529268
Registry record updated Feb 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3093 Issued in TN
Legal business name
LAUNCH CHIROPRACTIC LLC
Practice address
9076 Poplar Pike Ste 102
Germantown, TN 38138-8232
Phone
(901) 308-4747
NPI assigned
Feb 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2018

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

Authorized official

Name
Dr. Anthony Stasi, DCNPI 1043711187
Title
Owner
Phone
(901) 308-4747

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 3093 TN Primary

Addresses

Primary practice location

9076 Poplar Pike Ste 102
Germantown, TN 38138-8232

Mailing address

9076 Poplar Pike Ste 102
Germantown, TN 38138-8232
Phone (901) 308-4747

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180402000827 TN Part B Supplier - Clinic/Group Practice 7719249721 Receives reassigned benefits from 1 practitioner
Practice locations: Germantown, TN

National Provider Directory

National Provider Directory

Locations

9076 Poplar Pike
Ste 102
Germantown, TN 38138
Phone (901) 308-4747

9056 Poplar Pike
Ste 105
Memphis, TN 38138
Phone (901) 308-4747

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1124529268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9076 POPLAR PIKE STE 102",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381388232",
            "telephone_number": "901-308-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9076 POPLAR PIKE STE 102",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381388232",
            "telephone_number": "901-308-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUNCH CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "STASI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-308-4747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.