NPIMap

Organization Active NPI

Community Chiropractic Clinic LLC

  • Chiropractor
  • Johnson City, TN
National Provider Identifier
1184852295
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2337 Issued in TN
Legal business name
COMMUNITY CHIROPRACTIC CLINIC LLC
Practice address
2 Worth Cir
Suite 3
Johnson City, TN 37601-4304
Phone
(423) 262-0339
Fax
(423) 262-0340
NPI assigned
Jun 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Authorized official

Name
Dr. Andrew Dean Harris, D.C.
Title
President
Phone
(423) 262-0339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2337 TN Primary

Addresses

Primary practice location

2 Worth Cir
Suite 3
Johnson City, TN 37601-4304

Mailing address

2 Worth Cir
Suite 3
Johnson City, TN 37601-4304
Phone (423) 262-0339

Other names 1

  • Balanced Healing Center Doing business as

National Provider Directory

National Provider Directory

Locations

2 Worth Cir
Ste 3
Johnson City, TN 37601
Phone (423) 262-0339

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1184852295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WORTH CIR",
            "address_2": "SUITE 3",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014304",
            "telephone_number": "423-262-0339",
            "fax_number": "423-262-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WORTH CIR",
            "address_2": "SUITE 3",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014304",
            "telephone_number": "423-262-0339",
            "fax_number": "423-262-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-26",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-262-0339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balanced Healing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.