Organization Active NPI

The Chiro Place of Collierville PLLC

  • Chiropractor
  • Collierville, TN
National Provider Identifier
1609234657
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2675 Issued in TN
Legal business name
THE CHIRO PLACE OF COLLIERVILLE PLLC
Practice address
3615 S Houston Levee Rd Ste 110
Collierville, TN 38017-9173
Phone
(901) 221-7173
Fax
(901) 221-7934
NPI assigned
Feb 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Dena Granger, D.C.NPI 1750653572
Title
Doctor of Chiropractic
Phone
(770) 363-4669

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2675 TN Primary

Addresses

Primary practice location

3615 S Houston Levee Rd Ste 110
Collierville, TN 38017-9173

Mailing address

8101 Hacks Cross Rd Ste 110
Olive Branch, MS 38654-4032
Phone (901) 221-7173

Other practice location 1

2690 Kirby Whitten Rd
Bartlett, TN 38133-4741
Phone (901) 221-7173

Other practice location 2

3179 Poplar Ave
Memphis, TN 38111-3501
Phone (901) 221-7173

Other practice location 3

1630 Goodman Rd E Ste 3
Southaven, MS 38671-9556
Phone (901) 221-7173

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160504002484 TN Part B Supplier - Clinic/Group Practice 1951600428 Receives reassigned benefits from 9 practitioners
Practice locations: Memphis, TN; Collierville, TN; Bartlett, TN

National Provider Directory

National Provider Directory

Locations

1630 Goodman Rd E
Ste 3
Southaven, MS 38671
Phone (662) 470-7232

2690 Kirby Whitten Rd
Ste 109
Bartlett, TN 38133
Phone (901) 217-7173

3615 S Houston Levee Rd
Ste 110
Collierville, TN 38017
Phone (901) 217-7173

2690 Kirby Whitten Rd
Memphis, TN 38133
Phone (901) 221-7173

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1609234657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 HACKS CROSS RD STE 110",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386544032",
            "telephone_number": "901-221-7173",
            "fax_number": "662-932-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 S HOUSTON LEVEE RD STE 110",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380179173",
            "telephone_number": "901-221-7173",
            "fax_number": "901-221-7934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2690 Kirby Whitten Rd",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381334741",
            "country_code": "US",
            "telephone_number": "901-221-7173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3179 Poplar Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381113501",
            "country_code": "US",
            "telephone_number": "901-221-7173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1630 Goodman Rd E Ste 3",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386719556",
            "country_code": "US",
            "telephone_number": "901-221-7173",
            "fax_number": "901-221-7934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE CHIRO PLACE OF COLLIERVILLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-05",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "GRANGER",
        "authorized_official_first_name": "DENA",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "770-363-4669",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.