Organization Active NPI

Advanced Chiropractic LLC

  • Chiropractor
  • Lebanon, TN
National Provider Identifier
1366624462
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC603 Issued in TN
Legal business name
ADVANCED CHIROPRACTIC LLC
Practice address
1606 W Main St
Lebanon, TN 37087-3189
Phone
(615) 443-0523
Fax
(615) 453-3536
NPI assigned
Nov 29, 2007
Last updated
Dec 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Dr. Norma Jean Fisher Consiglio, D.CNPI 1174682900
Title
Chiropractor
Phone
(615) 443-0523

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC603 TN Primary

Addresses

Primary practice location

1606 W Main St
Lebanon, TN 37087-3189

Mailing address

1606 W Main St
Lebanon, TN 37087-3189
Phone (615) 443-0523

National Provider Directory

National Provider Directory

Locations

1606 W Main St
Lebanon, TN 37087
Phone (615) 443-0523

Practitioners & affiliated clinicians

Practitioners 2

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": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1366624462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 W MAIN ST",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873189",
            "telephone_number": "615-443-0523",
            "fax_number": "615-453-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 W MAIN ST",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873189",
            "telephone_number": "615-443-0523",
            "fax_number": "615-453-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "FISHER CONSIGLIO",
        "authorized_official_first_name": "NORMA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "615-443-0523",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.