Organization Active NPI

New Life Chiropractic Inc

  • Chiropractor
  • Brentwood, TN
National Provider Identifier
1407147226
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2164 Issued in TN
Legal business name
NEW LIFE CHIROPRACTIC INC
Practice address
1746 General George Patton Dr
Suite 102
Brentwood, TN 37027-2935
Phone
(615) 221-8033
Fax
(615) 221-8035
NPI assigned
Apr 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Authorized official

Name
Dr. Dionne Kellogg, D.C.NPI 1689867459
Title
Owner
Phone
(615) 221-8033

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2164 TN Primary

Addresses

Primary practice location

1746 General George Patton Dr
Suite 102
Brentwood, TN 37027-2935

Mailing address

1746 General George Patton Dr
Suite 102
Brentwood, TN 37027-2935
Phone (615) 221-8033

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110707000347 TN Part B Supplier - Clinic/Group Practice 7416135876 Receives reassigned benefits from 1 practitioner
Practice locations: Brentwood, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1407147226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 GENERAL GEORGE PATTON DR",
            "address_2": "SUITE 102",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272935",
            "telephone_number": "615-221-8033",
            "fax_number": "615-221-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1746 GENERAL GEORGE PATTON DR",
            "address_2": "SUITE 102",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272935",
            "telephone_number": "615-221-8033",
            "fax_number": "615-221-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "KELLOGG",
        "authorized_official_first_name": "DIONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-221-8033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.