Organization Active NPI

Pendergrass Chiropractic, LLC

  • Chiropractor
  • Mount Juliet, TN
National Provider Identifier
1285995746
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC2521 Issued in TN
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

Updated by the provider on Jun 28, 2012

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1770841983OtherTNNPI TYPE 1

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.