Organization Active NPI

Stewart Chiropractic Center PC

  • Chiropractor
  • Hendersonville, TN
National Provider Identifier
1194086298
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2586 Issued in TN
Legal business name
STEWART CHIROPRACTIC CENTER PC
Practice address
104 Glen Oak Blvd
Ste 140
Hendersonville, TN 37075-6423
Phone
(615) 767-0114
NPI assigned
Jun 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Authorized official

Name
Dr. Clare Louise Stewart, D.C.
Title
Doctor of Chiropractic
Phone
(615) 767-0114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2586 TN Primary

Addresses

Primary practice location

104 Glen Oak Blvd
Ste 140
Hendersonville, TN 37075-6423

Mailing address

1070 W Main St
1403
Hendersonville, TN 37075-2858
Phone (615) 767-0114

Other names 1

  • Stewart Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120703000539 TN Part B Supplier - Clinic/Group Practice 7315102951 Receives reassigned benefits from 4 practitioners
Practice locations: Hendersonville, TN

National Provider Directory

National Provider Directory
Tax ID family
Stewart Chiropractic Center PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

104 Glen Oak Blvd
Ste 140
Hendersonville, TN 37075
Phone (615) 767-0114

326 New Shackle Island Rd
Ste 100
Hendersonvlle, TN 37075
Phone (615) 447-5088

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1194086298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 W MAIN ST",
            "address_2": "1403",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752858",
            "telephone_number": "615-767-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 GLEN OAK BLVD",
            "address_2": "STE 140",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756423",
            "telephone_number": "615-767-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CLARE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "615-767-0114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stewart Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.