Organization Active NPI

Crossroads Chiropractic PA

  • Chiropractor
  • Memphis, TN
National Provider Identifier
1508034950
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0000000654 Issued in TN
Legal business name
CROSSROADS CHIROPRACTIC PA
Practice address
3445 Poplar Ave
Ste 18
Memphis, TN 38111-4667
Phone
(901) 327-1551
Fax
(901) 327-1551
NPI assigned
Feb 19, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. James E Hurst, DC
Title
Owner
Phone
(901) 327-1551

National Provider Directory

National Provider Directory

Locations

3445 Poplar Ave
Ste 18
Memphis, TN 38111
Phone (901) 327-1551

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC0000000654 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

3445 Poplar Ave
Ste 18
Memphis, TN 38111-4667

Mailing address

3445 Poplar Ave
Ste 18
Memphis, TN 38111-4667
Phone (901) 327-1551

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
0143316OtherTNBLUECROSS BLUESHIELD
6290683OtherTNCIGNA HEALTHCARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 25, 2008.

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1508034950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 POPLAR AVE",
            "address_2": "STE 18",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114667",
            "telephone_number": "901-327-1551",
            "fax_number": "901-327-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 POPLAR AVE",
            "address_2": "STE 18",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114667",
            "telephone_number": "901-327-1551",
            "fax_number": "901-327-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-327-1551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000000654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "0143316",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "6290683",
            "state": "TN"
        }
    ],
    "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 Mar 25, 2008; 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.