Organization Active NPI

Family Chiropractic Clinic

  • Chiropractor
  • Johnson City, TN
National Provider Identifier
1194140186
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0000002713 Issued in TN
Legal business name
FAMILY CHIROPRACTIC CLINIC
Practice address
1906 Knob Creek Rd Ste 1
Johnson City, TN 37604-3097
Phone
(423) 282-5223
Fax
(423) 282-4479
NPI assigned
Feb 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Authorized official

Name
Miss April Anne Berg, DCNPI 1083041412
Title
Chiropractic Physician
Phone
(423) 282-5223

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 0000002713 TN Primary

Addresses

Primary practice location

1906 Knob Creek Rd Ste 1
Johnson City, TN 37604-3097

Mailing address

1906 Knob Creek Rd Ste 1
Johnson City, TN 37604-3097
Phone (423) 282-5223

National Provider Directory

National Provider Directory

Locations

1906 Knob Creek Rd
Ste 1
Johnson City, TN 37604
Phone (423) 282-5223

Practitioners & affiliated clinicians

Practitioners 2

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": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1194140186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 KNOB CREEK RD STE 1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376043097",
            "telephone_number": "423-282-5223",
            "fax_number": "423-282-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 KNOB CREEK RD STE 1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376043097",
            "telephone_number": "423-282-5223",
            "fax_number": "423-282-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "423-282-5223",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "0000002713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 27, 2014; 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.