Individual provider Active NPI

Donald R Van Slee, DC

  • Chiropractor
  • Mt Juliet, TN
National Provider Identifier
1366103673
Registry record updated Jan 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3465 Issued in TN
Practice address
11227 Lebanon Rd Ste 1F
Mt Juliet, TN 37122-5502
Phone
(615) 583-9788
NPI assigned
Jan 8, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 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 3465 TN Primary

Addresses

Primary practice location

11227 Lebanon Rd Ste 1F
Mt Juliet, TN 37122-5502

Mailing address

11227 Lebanon Rd Ste 1F
Mt Juliet, TN 37122-5502
Phone (615) 583-9788

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
3465TNMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1641600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641600000000",
    "number": "1366103673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11227 LEBANON RD STE 1F",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371225502",
            "telephone_number": "615-583-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11227 LEBANON RD STE 1F",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371225502",
            "telephone_number": "615-583-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN SLEE",
        "first_name": "DONALD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-08",
        "last_updated": "2022-01-08",
        "certification_date": "2022-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.