Active NPI
Applied Chiropractic of Memphis
- Pediatric Chiropractor
- Memphis, TN
National Provider Identifier
1407268279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Chiropractor
- License
- 2609
- Legal business name
- APPLIED CHIROPRACTIC OF MEMPHIS
- Practice address
- 1380 Madison Ave
Memphis, TN 38104-2327 - Phone
- (901) 634-6416
- NPI assigned
- May 28, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Melody Jackson, D.C.
- Title
- Chiropractor
- Phone
- (901) 634-6416
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Chiropractor | 111NP0017X | 2609 | TN | Primary |
| Nutrition Education Nutritionist | 133NN1002X | 2609 | TN |
Addresses
Primary practice location
1380 Madison Ave
Memphis, TN 38104-2327
Mailing address
1380 Madison Ave
Memphis, TN 38104-2327
National Provider Directory
National Provider DirectoryLocations
1380 Madison Ave
Memphis, TN 38104
Phone (901) 634-6416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401235200000",
"number": "1407268279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 MADISON AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381042327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 MADISON AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381042327",
"telephone_number": "901-634-6416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APPLIED CHIROPRACTIC OF MEMPHIS",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-28",
"last_updated": "2014-05-28",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "MELODY",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "901-634-6416",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NP0017X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "TN",
"license": "2609",
"primary": true
},
{
"code": "133NN1002X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": "TN",
"license": "2609",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.