Southeast Spine and Rehab Corp.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

DC0000002320 Issued in TN

Legal business name

SOUTHEAST SPINE AND REHAB CORP.

Practice address

209 E Moody Ave
Knoxville, TN 37920-4203

Phone

(865) 577-5757

NPI assigned

Jun 2, 2009

Last updated

Jun 29, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Greg Komeshak, D.C.

Title

Owner

Phone

(865) 577-5757

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jeremy David Hunter, DC

  • Chiropractor
  • O'Fallon, IL
  • NPI 1912297532
  NPD (past)

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1588890891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E MOODY AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379204203",
            "telephone_number": "865-577-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E MOODY AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379204203",
            "telephone_number": "865-577-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST SPINE AND REHAB CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "KOMESHAK",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-577-5757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TN",
            "license": "DC0000002320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Oral Surgery PC
• Southeast Oral Surgery PC
• Southeast Precision Clinic of Chiropractic, PLLC
• Southeast Spine & Pain Associates LLC
• Southeast Spine and Pain Associates Inc.
• Southeast Tennessee Health Clinic, LLC
• Southeastern Center for Fertility and Reproductive Surgery, PLLC
• Southeastern Dermatology Consultants, PC
• Southeastern Fertility Center
• Southeastern Mobile Imaging LLC

• Rehabilitation Chiropractor in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Rehabilitation Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.