Memphis Regenerative Healthcare LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MEMPHIS REGENERATIVE HEALTHCARE LLC

Practice address

7981 Dexter Rd Ste 101
Cordova, TN 38016-8798

Phone

(901) 237-0484

Fax

(901) 794-0854

NPI assigned

Oct 17, 2019

Organization subpart

No

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

Authorized official

Name

Carol Smith

Title

Owner

Phone

(901) 237-0484

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571356800000",
    "number": "1609418086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7981 DEXTER RD STE 101",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380168798",
            "telephone_number": "901-237-0484",
            "fax_number": "901-794-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7981 DEXTER RD STE 101",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380168798",
            "telephone_number": "901-237-0484",
            "fax_number": "901-794-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS REGENERATIVE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-237-0484"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN LICENSE",
            "identifier": "1147",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "memphisregenerativehealthcare@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7981 Dexter Rd Ste 101",
            "city": "Cordova",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380168798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Memphis Psychiatry, PLLC
• Memphis Sleep Lab, Inc
• Memphis Speech-Language Pathology PLLC
• Memphis Spine and Sport
• Memphis Spine and Sport, PLLC
• Memphis Urgent Care #2 LLC

• Chiropractor in Cordova, TN
• Providers in Cordova, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.