NPIMap

Organization Active NPI

Dynamic Chiropractic Clinics

Doing business as Stanlick Chiropractic

  • Chiropractor
  • Murfreesboro, TN
National Provider Identifier
1467925982
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DYNAMIC CHIROPRACTIC CLINICS
Doing business as
Stanlick Chiropractic
Practice address
3918 Cedar Glades Dr
Murfreesboro, TN 37128-2996
Phone
(615) 907-7490
Fax
(615) 907-7489
NPI assigned
Jan 8, 2019
Last updated
Dec 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Dr. Jeremy W Bills, DCNPI 1689917395
Title
Owner
Phone
(615) 907-7490

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

3918 Cedar Glades Dr
Murfreesboro, TN 37128-2996

Mailing address

3918 Cedar Glades Dr
Murfreesboro, TN 37128-2996
Phone (615) 907-7490

Other names 1

  • Stanlick Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190114002750 TN Part B Supplier - Clinic/Group Practice 0840536728 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Murfreesboro, TN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Dynamic Chiropractic Clinics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1144 Fortress Blvd
Ste E
Murfreesboro, TN 37128

3918 Cedar Glades Dr
Murfreesboro, TN 37128
Phone (615) 907-7490

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1467925982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 CEDAR GLADES DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371282996",
            "telephone_number": "615-907-7490",
            "fax_number": "605-907-7489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 CEDAR GLADES DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371282996",
            "telephone_number": "615-907-7490",
            "fax_number": "615-907-7489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC CHIROPRACTIC CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "BILLS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-907-7490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stanlick Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stanlick Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.