Lakeland Chiropractic Clinic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2287 Issued in TN

Legal business name

LAKELAND CHIROPRACTIC CLINIC PLLC

Practice address

8950 US Highway 64
Suite 109
Lakeland, TN 38002-4566

Phone

(901) 388-0737

Fax

(901) 755-9605

NPI assigned

Aug 21, 2008

Organization subpart

No

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

Authorized official

Name

Darrin R Jessop, DCNPI 1467608455

Title

Chiropractor

Phone

(901) 388-0737

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darrin R Jessop, DC

  • Chiropractor
  • Lakeland, TN
  • NPI 1467608455
  Medicare reassignment Care Compare group NPD Authorized official
• Aaron Walter Fearnley, D.C.

  • Chiropractor
  • Lakeland, TN
  • NPI 1992141097
  Medicare reassignment Care Compare group NPD
• Beau J Blanchard, DC

  • Chiropractor
  • Lakeland, TN
  • NPI 1487444675
  NPD (past)
• Nathan R.B. Williams, D.C.

  • Chiropractor
  • Muskogee, OK
  • NPI 1629386479
  NPD (past)

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1437306404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 US HIGHWAY 64",
            "address_2": "SUITE 109",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "380024566",
            "telephone_number": "901-388-0737",
            "fax_number": "901-755-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 US HIGHWAY 64",
            "address_2": "SUITE 109",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "380024566",
            "telephone_number": "901-388-0737",
            "fax_number": "901-755-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND CHIROPRACTIC CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "JESSOP",
        "authorized_official_first_name": "DARRIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "901-388-0737",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marshall Vance Jones Jr., R.PH.
• Patricia Jue, PHARMD
• William Riley Kendrick Jr., M.D.
• Lisa Rowland Kenny, F.N.P.
• Ziad Kutob, DDS
• Lakeland Pediatrics PLLC
• Ratana Laurie
• Leader Physical Therapy Limited Partnership
• Marsha V Lee, M.D.
• Joseph Matthew Li, DPT

• Chiropractor in Lakeland, TN
• Providers in Lakeland, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.