Organization Active NPI

Tennessee Chiropractic and Functional Neurology Center

  • Chiropractor
  • Nashville, TN
National Provider Identifier
1154702736
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2862 Issued in TN
Legal business name
TENNESSEE CHIROPRACTIC AND FUNCTIONAL NEUROLOGY CENTER
Practice address
99 White Bridge Rd
Suite 201
Nashville, TN 37205-1448
Phone
(615) 352-4455
NPI assigned
Jun 9, 2015
Last updated
Jun 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Authorized official

Name
Bryan Pascoe, D.C.NPI 1033599329
Title
Owner
Phone
(847) 532-1166

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 2862 TN Primary

Addresses

Primary practice location

99 White Bridge Rd
Suite 201
Nashville, TN 37205-1448

Mailing address

99 White Bridge Rd
Suite 201
Nashville, TN 37205-1448
Phone (615) 352-4455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160104001878 TN Part B Supplier - Clinic/Group Practice 8022310341 Receives reassigned benefits from 3 practitioners
Practice locations: Nashville, TN

National Provider Directory

National Provider Directory

Locations

28 White Bridge Pike
Ste 316
Nashville, TN 37205
Phone (615) 352-4455

99 White Bridge Pike
Ste 201
Nashville, TN 37205
Phone (615) 352-4455

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1154702736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 WHITE BRIDGE RD",
            "address_2": "SUITE 201",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372051448",
            "telephone_number": "615-352-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 WHITE BRIDGE RD",
            "address_2": "SUITE 201",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372051448",
            "telephone_number": "615-352-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE CHIROPRACTIC AND FUNCTIONAL NEUROLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "PASCOE",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-532-1166",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.