NPIMap

Organization Active NPI

Germantown Chiropractic Clinic PLLC

  • Chiropractor
  • Germantown, TN
National Provider Identifier
1427329424
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC2287 Issued in TN
Legal business name
GERMANTOWN CHIROPRACTIC CLINIC PLLC
Practice address
2121 S Germantown Rd
Germantown, TN 38138-3866
Phone
(901) 757-9000
Fax
(901) 755-9605
NPI assigned
Jan 23, 2012
Last updated
Jan 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Authorized official

Name
Dr. Darrin R Jessop, DCNPI 1467608455
Title
Managing Member
Phone
(901) 757-9000

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
Chiropractor 111N00000X DC2287 TN Primary

Addresses

Primary practice location

2121 S Germantown Rd
Germantown, TN 38138-3866

Mailing address

2121 S Germantown Rd
Germantown, TN 38138-3866
Phone (901) 757-9000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120806000747 TN Part B Supplier - Clinic/Group Practice 7315193455 Receives reassigned benefits from 4 practitioners
Practice locations: Germantown, TN

National Provider Directory

National Provider Directory

Locations

2121 S Germantown Rd
Germantown, TN 38138
Phone (901) 756-5603

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": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1427329424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 S GERMANTOWN RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383866",
            "telephone_number": "901-757-9000",
            "fax_number": "901-755-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S GERMANTOWN RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383866",
            "telephone_number": "901-757-9000",
            "fax_number": "901-755-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERMANTOWN CHIROPRACTIC CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "JESSOP",
        "authorized_official_first_name": "DARRIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "901-757-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC2287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.