NPIMap

Organization Active NPI

Dynamic Chiropractic Clinics

Doing business as Stanlick Chiropractic

  • Chiropractor
  • Murfreesboro, TN
National Provider Identifier
1417517814
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DYNAMIC CHIROPRACTIC CLINICS
Doing business as
Stanlick Chiropractic
Practice address
220 Veterans Pkwy Ste E
Murfreesboro, TN 37128-6436
Phone
(615) 907-7400
Fax
(615) 907-7435
NPI assigned
Jun 18, 2019
Last updated
Jun 18, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
DYNAMIC CHIROPRACTIC CLINICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Authorized official

Name
Dr. Jeremy Bills, DONPI 1689917395
Title
President
Phone
(615) 907-7400

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 MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

220 Veterans Pkwy Ste E
Murfreesboro, TN 37128-6436

Mailing address

241 W Northfield Blvd
Murfreesboro, TN 37129-1506
Phone (615) 907-7400

Other names 1

  • Stanlick Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190114002750 TN Part B Supplier - Clinic/Group Practice 0840536728 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Murfreesboro, TN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Dynamic Chiropractic Clinics2 organizations share this tax ID, including this one
Part of
Dynamic Chiropractic Clinics

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3918 Cedar Glades Dr
Murfreesboro, TN 37128
Phone (615) 907-7490

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1417517814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 W NORTHFIELD BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291506",
            "telephone_number": "615-907-7400",
            "fax_number": "615-907-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 VETERANS PKWY STE E",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371286436",
            "telephone_number": "615-907-7400",
            "fax_number": "615-907-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC CHIROPRACTIC CLINICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DYNAMIC CHIROPRACTIC CLINICS",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "BILLS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-907-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stanlick Chiropractic",
            "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 Jun 18, 2019; 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.