Estes Family Chiropractic and Wellness Clinic
Organization Active NPI Chiropractor · Loudon, TN
NPI 1245559657 · NPPES record last updated May 25, 2010
Key facts
- NPI
- 1245559657
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2383 (TN)
- Legal business name
- ESTES FAMILY CHIROPRACTIC AND WELLNESS CLINIC
- Practice address
- 702 Grove St
Suite 102
Loudon, TN 37774-1481 - Phone
- (865) 657-9941
- Fax
- (865) 657-9942
- NPI assigned
- May 25, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Stephanie A Estes, D.C.
- Title
- Provider/Co-Owner
- Phone
- (865) 657-9941
Practitioners 5
-
Casey Ann Kent, DC
-
Linda G Hunter, DC
-
Rebekah Leigh Tripp, AU.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101203000501 | TN | Part B Supplier - Clinic/Group Practice | 0143417113 |
Receives reassigned benefits from 3 practitioners Practice locations: Kingston, TN; Loudon, TN |
National Provider Directory
Locations
1190 N Kentucky St
Ste 102
Kingston, TN 37763
1190 N Kentucky St
Kingston, TN 37763
Phone (865) 376-4684
806 Mulberry St
Loudon, TN 37774
Phone (865) 229-6230
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2383 | TN | Yes |
Addresses
Primary practice location
702 Grove St
Suite 102
Loudon, TN 37774-1481
Mailing address
702 Grove St
Suite 102
Loudon, TN 37774-1481
Phone (865) 657-9941
Other names
- Estes Family Chiropractic and Wellness Center
Other providers in Loudon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.