Individual provider Active NPI

Michael Haun, DC

  • Chiropractor
  • Kingsport, TN
National Provider Identifier
1124634126
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3322 Issued in TN
Practice address
2105 E Center St Ste C
Kingsport, TN 37664-2664
Phone
(423) 765-9911
NPI assigned
Sep 16, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3322 TN Primary

Addresses

Primary practice location

2105 E Center St Ste C
Kingsport, TN 37664-2664

Mailing address

1558 Rocky Hollow Rd
Jonesborough, TN 37659-5006

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210128001274 TN Practitioner - Chiropractic 3678987948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

247 Broad St
Suite 104
Kingsport, TN 37660-4246
Phone (423) 612-0375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Chiropractic and Wellness LLC Chiropractor CurrentSince Jun 2, 2025 Accepting new patients

Locations

290 Union St
Erwin, TN 37650
Phone (423) 612-0375

247 Broad St
Ste 104
Kingsport, TN 37660
Phone (423) 612-0375

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1124634126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 ROCKY HOLLOW RD",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376595006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 E CENTER ST STE C",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376642664",
            "telephone_number": "423-765-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUN",
        "first_name": "MICHAEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.