Individual provider Active NPI

Arthur J Poisal, DC

  • Chiropractor
  • Knoxville, TN
National Provider Identifier
1376519504
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1980 Issued in TN
Practice address
4409 Central Avenue Pike
Ste 102
Knoxville, TN 37912-4081
Phone
(865) 687-0474
Fax
(865) 687-6333
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1980 TN Primary

Addresses

Primary practice location

4409 Central Avenue Pike
Ste 102
Knoxville, TN 37912-4081

Mailing address

4409 Central Avenue Pike
Ste 102
Knoxville, TN 37912-4081
Phone (865) 687-0474

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070911000713 TN Practitioner - Chiropractic 5597858258 Practice locations: Knoxville, TN

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3371 Whittle Springs Rd
Knoxville, TN 37917-2815
Phone (865) 687-0474

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1376519504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 CENTRAL AVENUE PIKE",
            "address_2": "STE 102",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379124081",
            "telephone_number": "865-687-0474",
            "fax_number": "865-687-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 CENTRAL AVENUE PIKE",
            "address_2": "STE 102",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379124081",
            "telephone_number": "865-687-0474",
            "fax_number": "865-687-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POISAL",
        "first_name": "ARTHUR",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "1980",
            "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 Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.