Organization Active NPI

Chiropractic Brings Life

  • Chiropractor
  • Waverly, TN
National Provider Identifier
1447516406
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0000001915 Issued in TN
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

Updated by the provider on Apr 4, 2012

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.NPI 1861660896
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20120417000023 TN Part B Supplier - Clinic/Group Practice 9931360062 Receives reassigned benefits from 1 practitioner
Practice locations: Waverly, TN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.