Organization Active NPI

Natural Chiropractic PLLC

  • Chiropractor
  • Memphis, TN
National Provider Identifier
1487068169
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2203 Issued in TN
Legal business name
NATURAL CHIROPRACTIC PLLC
Practice address
6157 Poplar Ave
Memphis, TN 38119-4741
Phone
(901) 761-1007
Fax
(901) 205-0550
NPI assigned
Jun 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Authorized official

Name
Dr. Mark A Wallace, DCNPI 1942241096
Title
Owner/Chiropractor
Phone
(901) 861-1212

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 2203 TN Primary

Addresses

Primary practice location

6157 Poplar Ave
Memphis, TN 38119-4741

Mailing address

6157 Poplar Ave
Memphis, TN 38119-4741
Phone (901) 761-1007

National Provider Directory

National Provider Directory

Locations

6157 Poplar Ave
Memphis, TN 38119
Phone (901) 761-1007

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": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1487068169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6157 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194741",
            "telephone_number": "901-761-1007",
            "fax_number": "901-205-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6157 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194741",
            "telephone_number": "901-761-1007",
            "fax_number": "901-205-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "901-861-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.