Jennifer J Padrta, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

28992 Issued in CA

Practice address

123 W Broadway St
Lenoir City, TN 37771-2914

Phone

(865) 582-1504

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1154544047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 W BROADWAY ST",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377712914",
            "telephone_number": "865-582-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W BROADWAY ST",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377712914",
            "telephone_number": "865-582-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADRTA",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "28992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Orr, MA CCCSLP
• Orthotennessee, PC
• Orthotennessee, PC
• Orthotennessee, PC
• Saul Alberto Padilla, BA
• Pain Medicine of the South, PLLC
• Ioannis Parastatidis, M.D., PH.D.
• Benjamin M Pardue, DO
• Hilary Ann Parker, PSY.D.
• Parkwest Medical Center

• All providers in Lenoir City, TN
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.