Individual provider Active NPI

Jeffrey Glenn Snead Sr., D.C.

  • Chiropractor
  • Hendersonville, TN
National Provider Identifier
1316070923
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1525 Issued in TN
Practice address
393 E Main St
Suite L
Hendersonville, TN 37075-2574
Phone
(615) 338-0894
Fax
(615) 822-7723
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1525 TN Primary

Addresses

Primary practice location

393 E Main St
Suite L
Hendersonville, TN 37075-2574

Mailing address

393 E Main St
Suite L
Hendersonville, TN 37075-2574
Phone (615) 338-0894

Other identifiers 1

IdentifierTypeStateIssuer
3155544OtherTNBLUE CROSS NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111116000748 TN Practitioner - Chiropractic 4183898786 Practice locations: Hendersonville, TN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316070923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 E MAIN ST",
            "address_2": "SUITE L",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752574",
            "telephone_number": "615-338-0894",
            "fax_number": "615-822-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 E MAIN ST",
            "address_2": "SUITE L",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752574",
            "telephone_number": "615-338-0894",
            "fax_number": "615-822-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNEAD",
        "first_name": "JEFFREY",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "1525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NUMBER",
            "identifier": "3155544",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.