Loretto Family Chiropractic

Key facts

NPI

1497290704

Entity type

Organization (NPI type 2)

Primary specialty

Chiropractor 111N00000X

License

2984 (TN)

Legal business name

LORETTO FAMILY CHIROPRACTIC

Practice address

607A N Military St
Loretto, TN 38469-2341

Phone

(931) 306-8107

NPI assigned

Dec 21, 2016

Organization subpart

No

Authorized official

Name

Dr. Chasy Lynn Jacobs, D.C. NPI 1528503836

Title

Chiropractor

Phone

(931) 306-8107

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chasy Lynn Jacobs, D.C Chiropractor · Loretto, TN · NPI 1528503836
  Medicare reassignment Care Compare group NPD Authorized official CHIROPRACTOR · TN
• John Jacobs II, DC Chiropractor · Loretto, TN · NPI 1366801441
  Medicare reassignment Care Compare group NPD CHIROPRACTOR · TN

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TN

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 21, 2016.

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1497290704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 563",
            "city": "LORETTO",
            "state": "TN",
            "postal_code": "384690563",
            "telephone_number": "931-306-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607A N MILITARY ST",
            "city": "LORETTO",
            "state": "TN",
            "postal_code": "384692341",
            "telephone_number": "931-306-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORETTO FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "CHASY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "931-306-8107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loretto, TN

• Chasy Lynn Jacobs, D.C
• John Jacobs II, DC
• Kimberly Lane Johnson
• Loretto Communication Services, Inc.
• Loretto Drugs L L C
• Matthew E. Schantz, M.D.
• Nicole Tucker McConnell, PHARMD
• Sydney Taylor Phillips, LCSW
• Red E 2 Ride LLC
• Matthew E. Schantz, M.D.

All providers in Loretto, TN · Chiropractor in Tennessee