Active NPI
David John Sossamon, D. C.
- Chiropractor
- Johnson City, TN
National Provider Identifier
1457647455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104000336
- Practice address
- 710 Montclair Dr
Johnson City, TN 37604-2423 - Phone
- (423) 282-1234
- NPI assigned
- Jun 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104000336 | VA | Primary |
| Chiropractor | 111N00000X | DC0000002401 | TN |
Addresses
Primary practice location
710 Montclair Dr
Johnson City, TN 37604-2423
Mailing address
710 Montclair Dr
Johnson City, TN 37604-2423
Phone (423) 282-1234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC0000002401 | TN | MD | Chiropractor |
| 0104000336 | VA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309219200000",
"number": "1457647455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 MONTCLAIR DR",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042423",
"telephone_number": "423-282-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 MONTCLAIR DR",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042423",
"telephone_number": "423-282-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOSSAMON",
"first_name": "DAVID",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D. C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-28",
"last_updated": "2011-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104000336",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "DC0000002401",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.