Active NPI
James Garrett Penna, DC
- Chiropractor
- Memphis, TN
National Provider Identifier
1255051397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3600
- Practice address
- 6635 Quince Rd Ste 110
Memphis, TN 38119-8030 - Phone
- (901) 308-0003
- NPI assigned
- Aug 30, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 3600 | TN | Primary |
Addresses
Primary practice location
6635 Quince Rd Ste 110
Memphis, TN 38119-8030
Mailing address
6635 Quince Rd Ste 110
Memphis, TN 38119-8030
Phone (901) 308-0003
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 |
|---|---|---|---|
| 3600 | TN | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1255051397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6635 QUINCE RD STE 110",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381198030",
"telephone_number": "901-308-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6635 QUINCE RD STE 110",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381198030",
"telephone_number": "901-308-0003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNA",
"first_name": "JAMES",
"middle_name": "GARRETT",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-30",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "3600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.