Individual provider Active NPI

Dakota Neetz

  • Chiropractor
  • Hermitage, TN
National Provider Identifier
1346987922
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC3580 Issued in TN
Practice address
5512 Old Hickory Blvd
Hermitage, TN 37076-2576
Phone
(615) 942-7282
NPI assigned
May 16, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC3580 TN Primary

Addresses

Primary practice location

5512 Old Hickory Blvd
Hermitage, TN 37076-2576

Mailing address

5512 Old Hickory Blvd
Hermitage, TN 37076-2576
Phone (615) 942-7282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3580TNMDMental Health Counselor
DC3580TNMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1346987922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5512 OLD HICKORY BLVD",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762576",
            "telephone_number": "615-942-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5512 OLD HICKORY BLVD",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762576",
            "telephone_number": "615-942-7282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEETZ",
        "first_name": "DAKOTA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC3580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.