Redus Chiropractic Care, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

DC 740 Issued in TN

Legal business name

REDUS CHIROPRACTIC CARE, INC.

Practice address

302 Main St
Jacksboro, TN 37757-2935

Phone

(423) 566-4215

Fax

(423) 566-5155

NPI assigned

Feb 21, 2008

Last updated

Feb 24, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Cleveland Redus Jr., D.C.NPI 1497753982

Title

President/Chiropractor

Phone

(423) 566-4215

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

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.

• John Redus, D.C.

  • Chiropractor
  • Jacksboro, TN
  • NPI 1497753982
  Authorized official Same address or phone

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1376712505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 MAIN ST",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377572935",
            "telephone_number": "423-566-4215",
            "fax_number": "423-566-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 MAIN ST",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377572935",
            "telephone_number": "423-566-4215",
            "fax_number": "423-566-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDUS CHIROPRACTIC CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "REDUS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CLEVELAND",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "423-566-4215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TN",
            "license": "DC 740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARITEN PREFERRED",
            "identifier": "12786",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/TENNESSEE",
            "identifier": "4026838",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3675808",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katlyn Overton
• Shannon Paige Overton, RN
• Pediatric Professionals
• Dustin Powell
• Vida Lou Rains, RN
• John Redus, D.C.
• Renovation Health and Wellness
• Stephanie Kaye Reynolds, OD
• Riggs Drug Store (Riggs Drug Jacksboro)
• Stacy Jean Riggs, CPNP

• Health Service Clinic/Center in Jacksboro, TN
• Providers in Jacksboro, TN by specialty
• Health Service Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.