NPIMap

Organization Active NPI

Tester Chiropratic

Doing business as One Chiropractic

  • Chiropractor
  • McKenzie, TN
National Provider Identifier
1285128967
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC2822 Issued in TN
Legal business name
TESTER CHIROPRATIC
Doing business as
One Chiropractic
Practice address
62 Hospital Dr
MC Kenzie, TN 38201-1637
Phone
(731) 441-7874
Fax
(731) 352-8005
NPI assigned
Jun 18, 2018
Last updated
Jun 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Authorized official

Name
Lisa Kay Page
Title
Credentialing Manager
Phone
(731) 352-7907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC2822 TN Primary

Addresses

Primary practice location

62 Hospital Dr
MC Kenzie, TN 38201-1637

Mailing address

65 Mallard LN
Paris, TN 38242-2504
Phone (731) 441-7874

Other names 1

  • ONE CHIROPRACTIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
One Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1285128967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MALLARD LN",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382422504",
            "telephone_number": "731-441-7874",
            "fax_number": "731-207-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 HOSPITAL DR",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382011637",
            "telephone_number": "731-441-7874",
            "fax_number": "731-352-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESTER CHIROPRATIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "731-352-7907"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC2822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ONE CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ONE CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McKenzie, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.