Individual provider Active NPI

James Jonathan Fuertes, D.C.

  • Chiropractor
  • Madison, TN
National Provider Identifier
1134423049
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0000002590 Issued in TN
Practice address
500 Lentz Dr
Madison, TN 37115-5135
Phone
(615) 499-4363
Fax
(615) 499-4363
NPI assigned
Jan 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0000002590 TN Primary

Addresses

Primary practice location

500 Lentz Dr
Madison, TN 37115-5135

Mailing address

1110 Shelton Ave
Nashville, TN 37216-3129
Phone (614) 725-7090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0000002590TNMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1134423049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 SHELTON AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372163129",
            "telephone_number": "614-725-7090",
            "fax_number": "614-725-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LENTZ DR",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155135",
            "telephone_number": "615-499-4363",
            "fax_number": "615-499-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUERTES",
        "first_name": "JAMES",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-06",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "0000002590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.