Active NPI
The Chiro Place of Collierville PLLC
- Chiropractor
- Collierville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2675
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dena Granger, D.C.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Chiropractor
- Collierville, TN
- NPI 1750653572
-
- Chiropractor
- Collierville, TN
- NPI 1437047362
-
- Chiropractor
- Bartlett, TN
- NPI 1295513133
-
- Chiropractor
- Nashville, TN
- NPI 1548015761
-
- Chiropractor
- Collierville, TN
- NPI 1700551165
-
- Chiropractor
- Collierville, TN
- NPI 1679130249
-
- Chiropractor
- Memphis, TN
- NPI 1265089122
-
- Chiropractor
- Collierville, TN
- NPI 1831794726
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.