Individual provider Active NPI

John Clinton Sinclair, LMT

  • Specialist
  • Ooltewah, TN
National Provider Identifier
1568657039
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MT0000002971 Issued in TN
Practice address
9413 Apison Pike Ste 108
Ooltewah, TN 37363-5628
Phone
(423) 396-2100
Fax
(423) 396-2670
NPI assigned
Sep 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MT0000002971 TN Primary

Addresses

Primary practice location

9413 Apison Pike Ste 108
Ooltewah, TN 37363-5628

Mailing address

9413 Apison Pike Ste 108
Ooltewah, TN 37363-5628
Phone (423) 396-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT0000002971TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Office of Elder of Total Health Ministries Past Accepting new patients
Donald R. Shelby Total Health Connection Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1568657039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9413 APISON PIKE STE 108",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373635628",
            "telephone_number": "423-396-2100",
            "fax_number": "423-396-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9413 APISON PIKE STE 108",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373635628",
            "telephone_number": "423-396-2100",
            "fax_number": "423-396-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINCLAIR",
        "first_name": "JOHN",
        "middle_name": "CLINTON",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MT0000002971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.