Organization Active NPI

Chiropractic Health and Rehabilitation, PLLC.

Doing business as Chiropractic Health & Rehabilitation of Murfreesboro

  • Chiropractor
  • Murfreesboro, TN
National Provider Identifier
1407249741
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2813 Issued in TN
Legal business name
CHIROPRACTIC HEALTH AND REHABILITATION, PLLC.
Doing business as
Chiropractic Health & Rehabilitation of Murfreesboro
Practice address
835 N Thompson LN
Murfreesboro, TN 37129-4319
Phone
(615) 624-9052
NPI assigned
Mar 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Authorized official

Name
Dr. Jeremy Gonsowski, D.C.
Title
Owner / Operator
Phone
(615) 624-9052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2813 TN Primary

Addresses

Primary practice location

835 N Thompson LN
Murfreesboro, TN 37129-4319

Mailing address

755 Saint Andrews Dr Apt 7-101
Murfreesboro, TN 37128-6556

Other identifiers 2

IdentifierTypeStateIssuer
K107220MedicaidKY
Q010398MedicaidTN

Other names 1

  • Chiropractic Health & Rehabilitation of Murfreesboro Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1407249741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 SAINT ANDREWS DR APT 7-101",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371286556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 N THOMPSON LN",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294319",
            "telephone_number": "615-624-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTH AND REHABILITATION, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "GONSOWSKI",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER / OPERATOR",
        "authorized_official_telephone_number": "615-624-9052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "K107220",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q010398",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Health & Rehabilitation of Murfreesboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.