Active NPI
Chiropractic Brings Life
- Chiropractor
- Waverly, TN
National Provider Identifier
1447516406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC0000001915
- Legal business name
- CHIROPRACTIC BRINGS LIFE
- Practice address
- 40 Walton Dr
Suite C
Waverly, TN 37185-3383 - Phone
- (931) 296-7220
- Fax
- (931) 296-1785
- NPI assigned
- Apr 4, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel T Cole, D.C.
- Title
- Chiropractor/Partner
- Phone
- (931) 296-7220
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC0000001915 | TN | Primary |
Addresses
Primary practice location
40 Walton Dr
Suite C
Waverly, TN 37185-3383
Mailing address
40 Walton Dr
Suite C
Waverly, TN 37185-3383
Phone (931) 296-7220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120417000023 | TN | Part B Supplier - Clinic/Group Practice | 9931360062 |
Receives reassigned benefits from 1 practitioner Practice locations: Waverly, TN |
National Provider Directory
National Provider DirectoryLocations
103 Pavo St
Waverly, TN 37185
Phone (931) 296-7220
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Waverly, TN
- NPI 1861660896
-
- Chiropractor
- Waverly, TN
- NPI 1962980086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333497600000",
"number": "1447516406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 WALTON DR",
"address_2": "SUITE C",
"city": "WAVERLY",
"state": "TN",
"postal_code": "371853383",
"telephone_number": "931-296-7220",
"fax_number": "931-296-1785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 WALTON DR",
"address_2": "SUITE C",
"city": "WAVERLY",
"state": "TN",
"postal_code": "371853383",
"telephone_number": "931-296-7220",
"fax_number": "931-296-1785"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIROPRACTIC BRINGS LIFE",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-04",
"last_updated": "2012-04-04",
"status": "A",
"authorized_official_last_name": "COLE",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "CHIROPRACTOR/PARTNER",
"authorized_official_telephone_number": "931-296-7220",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "TN",
"license": "DC0000001915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waverly, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.