Organization Active NPI

Applied Chiropractic of Memphis

  • Pediatric Chiropractor
  • Memphis, TN
National Provider Identifier
1407268279
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
2609 Issued in TN
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

Updated by the provider on May 28, 2014

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)CodeLicenseStatePrimary
Pediatric ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NP0017X 2609 TN Primary
Nutrition Education NutritionistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.