Organization Active NPI

Optimal Health Chiropractic, PLLC

  • Clinic/Center
  • Memphis, TN
National Provider Identifier
1437339595
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
DC0000002195 Issued in TN
Legal business name
OPTIMAL HEALTH CHIROPRACTIC, PLLC
Practice address
2879 Poplar Ave
Memphis, TN 38111-2023
Phone
(901) 324-3474
NPI assigned
Nov 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Dr. Maurice Tucker, D.C.
Title
Owner
Phone
(901) 324-3474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X DC0000002195 TN Primary

Addresses

Primary practice location

2879 Poplar Ave
Memphis, TN 38111-2023

Mailing address

2879 Poplar Ave
Memphis, TN 38111-2023
Phone (901) 324-3474

National Provider Directory

National Provider Directory

Locations

2879 Poplar Ave
Memphis, TN 38111
Phone (901) 324-3474

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1437339595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2879 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381112023",
            "telephone_number": "901-324-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2879 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381112023",
            "telephone_number": "901-324-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALTH CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-324-3474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TN",
            "license": "DC0000002195",
            "primary": true
        }
    ],
    "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 12, 2008; 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.