Organization Active NPI

JRK Chiropractic, Inc.

  • Chiropractor
  • Tullahoma, TN
National Provider Identifier
1588839476
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2217 Issued in TN
Legal business name
JRK CHIROPRACTIC, INC.
Practice address
1940 N Jackson St
Tullahoma, TN 37388-8254
Phone
(931) 393-2401
Fax
(931) 393-2402
NPI assigned
Apr 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Authorized official

Name
Joseph Kanan, DC
Title
Owner
Phone
(931) 393-2401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2217 TN Primary

Addresses

Primary practice location

1940 N Jackson St
Tullahoma, TN 37388-8254

Mailing address

1940 N Jackson St
Tullahoma, TN 37388-8254
Phone (931) 393-2401

National Provider Directory

National Provider Directory

Locations

16782 21 Mile Rd
Macomb, MI 48044
Phone (586) 286-2960

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1588839476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 N JACKSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373888254",
            "telephone_number": "931-393-2401",
            "fax_number": "931-393-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 N JACKSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373888254",
            "telephone_number": "931-393-2401",
            "fax_number": "931-393-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRK CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "KANAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-393-2401",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.