Active NPI
Jerry A Railey, D.C.
- Chiropractor
- Knoxville, TN
National Provider Identifier
1417008905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC0000000766
- Practice address
- 10321 Kingston Pike
Knoxville, TN 37922-3224 - Phone
- (865) 584-3565
- Fax
- (865) 584-2956
- NPI assigned
- Jan 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC0000000766 | TN | Primary |
Addresses
Primary practice location
10321 Kingston Pike
Knoxville, TN 37922-3224
Mailing address
10321 Kingston Pike
Knoxville, TN 37922-3224
Phone (865) 584-3565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC0000000766 | TN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287964800000",
"number": "1417008905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10321 KINGSTON PIKE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379223224",
"telephone_number": "865-584-3565",
"fax_number": "865-584-2956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10321 KINGSTON PIKE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379223224",
"telephone_number": "865-584-3565",
"fax_number": "865-584-2956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAILEY",
"first_name": "JERRY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-13",
"last_updated": "2010-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "DC0000000766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.