NPIMap

Organization Active NPI

Archie Chiropractic LLC

  • Chiropractor
  • Humboldt, TN
National Provider Identifier
1306149380
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2389 Issued in TN
Legal business name
ARCHIE CHIROPRACTIC LLC
Practice address
400 US Highway 45 W
Humboldt, TN 38343-8503
Phone
(731) 784-3444
Fax
(731) 784-8868
NPI assigned
Dec 13, 2010
Last updated
Jan 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Authorized official

Name
Jacob A Archie, D.C.NPI 1326375072
Title
Owner
Phone
(731) 784-3444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2389 TN Primary

Addresses

Primary practice location

400 US Highway 45 W
Humboldt, TN 38343-8503

Mailing address

64 Springside CV
Jackson, TN 38305-9780
Phone (731) 784-3444

National Provider Directory

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": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1306149380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 SPRINGSIDE CV",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383059780",
            "telephone_number": "731-784-3444",
            "fax_number": "731-784-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 US HIGHWAY 45 W",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383438503",
            "telephone_number": "731-784-3444",
            "fax_number": "731-784-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHIE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "ARCHIE",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-784-3444",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humboldt, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.