Organization Active NPI

Rocky Top Chiropractic LLC

  • Chiropractor
  • Knoxville, TN
National Provider Identifier
1255001327
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ROCKY TOP CHIROPRACTIC LLC
Practice address
5908 Toole Dr Ste Ef
Knoxville, TN 37919-4124
Phone
(865) 444-5994
Fax
(865) 351-5230
NPI assigned
Sep 20, 2021
Last updated
Sep 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Authorized official

Name
Dr. Joshua Kyle Rucker, DCNPI 1043612369
Title
Owner
Phone
(865) 444-5994

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 Primary

Addresses

Primary practice location

5908 Toole Dr Ste Ef
Knoxville, TN 37919-4124

Mailing address

5908 Toole Dr Ste Ef
Knoxville, TN 37919-4124
Phone (865) 444-5994

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211115000283 TN Part B Supplier - Clinic/Group Practice 5395134332 Receives reassigned benefits from 1 practitioner
Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory

Locations

5908 Toole Dr
Ste Ef
Knoxville, TN 37919
Phone (865) 444-5994

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": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1255001327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5908 TOOLE DR STE EF",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194124",
            "telephone_number": "865-444-5994",
            "fax_number": "865-351-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5908 TOOLE DR STE EF",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194124",
            "telephone_number": "865-444-5994",
            "fax_number": "865-351-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY TOP CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-444-5994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.