Organization Active NPI

Total Health Chiropractic & Wellness Clinic PC

  • Chiropractor
  • Memphis, TN
National Provider Identifier
1528215860
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC431 Issued in TN
Legal business name
TOTAL HEALTH CHIROPRACTIC & WELLNESS CLINIC PC
Practice address
1069 W Rex Rd
Memphis, TN 38119-3866
Phone
(901) 683-5971
Fax
(901) 682-2148
NPI assigned
Aug 19, 2008
Last updated
May 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Authorized official

Name
Mr. Kenneth P. Clenin, D.C.NPI 1790717254
Title
D.O/Direct Owner
Phone
(901) 683-5971

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC431 TN Primary
Chiropractor 111N00000X DC2105 TN

Addresses

Primary practice location

1069 W Rex Rd
Memphis, TN 38119-3866

Mailing address

PO Box 17369
Memphis, TN 38187-0369
Phone (901) 683-5971

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140428001017 TN Part B Supplier - Clinic/Group Practice 6709019797 Receives reassigned benefits from 1 practitioner
Practice locations: Memphis, TN

National Provider Directory

National Provider Directory

Locations

1069 W Rex Rd
Memphis, TN 38119
Phone (901) 683-5971

Practitioners & affiliated clinicians

Practitioners 3

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": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1528215860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17369",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381870369",
            "telephone_number": "901-683-5971",
            "fax_number": "901-682-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 W REX RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193866",
            "telephone_number": "901-683-5971",
            "fax_number": "901-682-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH CHIROPRACTIC & WELLNESS CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "CLENIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "D.O/DIRECT OWNER",
        "authorized_official_telephone_number": "901-683-5971",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC431",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC2105",
            "primary": false
        }
    ],
    "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 May 9, 2014; 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.