Organization Active NPI

Long Hollow Chiropractic LLC

  • Chiropractor
  • Goodlettsville, TN
National Provider Identifier
1235531203
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2810 Issued in TN
Legal business name
LONG HOLLOW CHIROPRACTIC LLC
Practice address
3050 Business Park Cir Ste 103
Goodlettsville, TN 37072-3658
Phone
(615) 851-3900
Fax
(615) 851-3933
NPI assigned
Sep 22, 2014
Last updated
Sep 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Authorized official

Name
Dr. Steven P Koester, D.C.NPI 1457390635
Title
Owner
Phone
(615) 851-3900

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
Chiropractor 111N00000X 2810 TN Primary

Addresses

Primary practice location

3050 Business Park Cir Ste 103
Goodlettsville, TN 37072-3658

Mailing address

3050 Business Park Cir Ste 103
Goodlettsville, TN 37072-3658
Phone (615) 851-3900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150317001400 TN Part B Supplier - Clinic/Group Practice 3476870155 Receives reassigned benefits from 1 practitioner
Practice locations: Goodlettsville, TN

National Provider Directory

National Provider Directory

Locations

3050 Business Park Cir
Ste 103
Goodlettsvlle, TN 37072
Phone (615) 264-9313

403 Long Hollow Pike
Ste 206
Goodlettsvlle, TN 37072
Phone (615) 851-3900

Practitioners & affiliated clinicians

Practitioners 1

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": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1235531203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 BUSINESS PARK CIR STE 103",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723658",
            "telephone_number": "615-851-3900",
            "fax_number": "615-851-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 BUSINESS PARK CIR STE 103",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723658",
            "telephone_number": "615-851-3900",
            "fax_number": "615-851-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG HOLLOW CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "KOESTER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-851-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.