Organization Active NPI

Estes Family Chiropractic and Wellness Clinic

Doing business as Estes Family Chiropractic and Wellness Center

  • Chiropractor
  • Loudon, TN
National Provider Identifier
1245559657
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2383 Issued in TN
Legal business name
ESTES FAMILY CHIROPRACTIC AND WELLNESS CLINIC
Doing business as
Estes Family Chiropractic and Wellness Center
Practice address
702 Grove St
Suite 102
Loudon, TN 37774-1481
Phone
(865) 657-9941
Fax
(865) 657-9942
NPI assigned
May 25, 2010
Last updated
May 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Authorized official

Name
Dr. Stephanie A Estes, D.C.NPI 1033446141
Title
Provider/Co-Owner
Phone
(865) 657-9941

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 2383 TN Primary

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 1

  • Estes Family Chiropractic and Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101203000501 TN Part B Supplier - Clinic/Group Practice 0143417113 Receives reassigned benefits from 3 practitioners
Practice locations: Kingston, TN; Loudon, TN

National Provider Directory

National Provider Directory

Locations

1190 N Kentucky St
Kingston, TN 37763
Phone (865) 376-4684

1190 N Kentucky St
Ste 102
Kingston, TN 37763

702 Grove St
Ste 102
Loudon, TN 37774
Phone (865) 242-4857

Practitioners & affiliated clinicians

Practitioners 5

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": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1245559657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 GROVE ST",
            "address_2": "SUITE 102",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377741481",
            "telephone_number": "865-657-9941",
            "fax_number": "865-657-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 GROVE ST",
            "address_2": "SUITE 102",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377741481",
            "telephone_number": "865-657-9941",
            "fax_number": "865-657-9942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTES FAMILY CHIROPRACTIC AND WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "ESTES",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROVIDER/CO-OWNER",
        "authorized_official_telephone_number": "865-657-9941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Estes Family Chiropractic and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loudon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.