Organization Active NPI

Deep River Wellness Center

  • Medical Specialty Clinic/Center
  • Knoxville, TN
National Provider Identifier
1316304629
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
010 Issued in TN
Legal business name
DEEP RIVER WELLNESS CENTER
Practice address
314 Knox Rd
Knoxville, TN 37918-2316
Phone
(865) 687-6452
NPI assigned
Jan 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Authorized official

Name
Mr. Michael J Norris, L.ACUPUNCTURIST, C.H
Title
Owner
Phone
(865) 687-6452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 010 TN Primary

Addresses

Primary practice location

314 Knox Rd
Knoxville, TN 37918-2316

Mailing address

314 Knox Rd
Knoxville, TN 37918-2316
Phone (865) 687-6452

National Provider Directory

National Provider Directory

Locations

314 Knox Rd
Knoxville, TN 37918
Phone (865) 687-6452

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1316304629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 KNOX RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379182316",
            "telephone_number": "865-687-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 KNOX RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379182316",
            "telephone_number": "865-687-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP RIVER WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-687-6452",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.ACUPUNCTURIST, C.H"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TN",
            "license": "010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.