Organization Active NPI

Chiro-R-US

  • Chiropractor
  • Cordova, TN
National Provider Identifier
1477197598
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIRO-R-US
Practice address
8014 Club Center Dr Ste 5
Cordova, TN 38016-8666
Phone
(901) 207-2757
NPI assigned
Oct 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Dr. Ying Y Wong, D.C.NPI 1942655600
Title
Owner
Phone
(901) 207-2757

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 Primary

Addresses

Primary practice location

8014 Club Center Dr Ste 5
Cordova, TN 38016-8666

Mailing address

PO Box 1261
Cordova, TN 38088-1261
Phone (901) 207-2757

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200111000025 TN Part B Supplier - Clinic/Group Practice 7911332473 Receives reassigned benefits from 1 practitioner
Practice locations: Cordova, TN

National Provider Directory

National Provider Directory

Locations

8014 Club Center Dr
Ste 5
Cordova, TN 38016
Phone (901) 207-2757

Practitioners & affiliated clinicians

Practitioners 1

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": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1477197598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1261",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380881261",
            "telephone_number": "901-207-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8014 CLUB CENTER DR STE 5",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380168666",
            "telephone_number": "901-207-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO-R-US",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-31",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "YING",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-207-2757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.