Active NPI
Charles F. Sabourin, D.C.
- Chiropractor
- Nashville, TN
National Provider Identifier
1215028279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0001225
- Practice address
- 4536 Nolensville Pike
Suite G
Nashville, TN 37211-4770 - Phone
- (615) 331-9777
- Fax
- (615) 331-0940
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0001225 | TN | Primary |
Addresses
Primary practice location
4536 Nolensville Pike
Suite G
Nashville, TN 37211-4770
Mailing address
4536 Nolensville Pike
Suite G
Nashville, TN 37211-4770
Phone (615) 331-9777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3012457 | Other | TN | BLUECROSS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001225 | TN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215028279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4536 NOLENSVILLE PIKE",
"address_2": "SUITE G",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372114770",
"telephone_number": "615-331-9777",
"fax_number": "615-331-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4536 NOLENSVILLE PIKE",
"address_2": "SUITE G",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372114770",
"telephone_number": "615-331-9777",
"fax_number": "615-331-0940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABOURIN",
"first_name": "CHARLES",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "0001225",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS PROVIDER NUMBER",
"identifier": "3012457",
"state": "TN"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.