Active NPI
Pendergrass Chiropractic, LLC
- Chiropractor
- Mount Juliet, TN
National Provider Identifier
1285995746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC2521
- Legal business name
- PENDERGRASS CHIROPRACTIC, LLC
- Practice address
- 854 N Mount Juliet Rd
Mount Juliet, TN 37122-3391 - Phone
- (615) 499-5848
- Fax
- (615) 758-3437
- NPI assigned
- May 31, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Natalie Brooke Pendergrass, D.C.
- Title
- Chiropractor/Owner
- Phone
- (615) 499-5848
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC2521 | TN | Primary |
Addresses
Primary practice location
854 N Mount Juliet Rd
Mount Juliet, TN 37122-3391
Mailing address
854 N Mount Juliet Rd
Mount Juliet, TN 37122-3391
Phone (615) 499-5848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770841983 | Other | TN | NPI TYPE 1 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340841600000",
"number": "1285995746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "854 N MOUNT JULIET RD",
"city": "MOUNT JULIET",
"state": "TN",
"postal_code": "371223391",
"telephone_number": "615-499-5848",
"fax_number": "615-758-3437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "854 N MOUNT JULIET RD",
"city": "MOUNT JULIET",
"state": "TN",
"postal_code": "371223391",
"telephone_number": "615-499-5848",
"fax_number": "615-758-3437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENDERGRASS CHIROPRACTIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-31",
"last_updated": "2012-06-28",
"status": "A",
"authorized_official_last_name": "PENDERGRASS",
"authorized_official_first_name": "NATALIE",
"authorized_official_middle_name": "BROOKE",
"authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
"authorized_official_telephone_number": "615-499-5848",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "TN",
"license": "DC2521",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE 1",
"identifier": "1770841983",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Juliet, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.