Organization Active NPI

Origin Family Chiropractic LLC

  • Chiropractor
  • Kingston Springs, TN
National Provider Identifier
1609466309
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ORIGIN FAMILY CHIROPRACTIC LLC
Practice address
101 W Kingston Springs Rd Ste C
Kingston Springs, TN 37082-9116
Phone
(615) 378-1195
NPI assigned
Jan 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Carrington Crowe, RN
Title
Team Member
Phone
(615) 618-7668

Specialties & licenses 1

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

Addresses

Primary practice location

101 W Kingston Springs Rd Ste C
Kingston Springs, TN 37082-9116

Mailing address

101 W Kingston Springs Rd Ste C
Kingston Springs, TN 37082-9116
Phone (615) 378-1195

Other names 1

  • Origin Family Chiropractic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chiro@originfamilychiropractic.com Direct

National Provider Directory

National Provider Directory

Locations

101 W Kingston Springs Rd
Ste C
Kingston Springs, TN 37082
Phone (615) 378-1195

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1609466309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W KINGSTON SPRINGS RD STE C",
            "city": "KINGSTON SPRINGS",
            "state": "TN",
            "postal_code": "370829116",
            "telephone_number": "615-378-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W KINGSTON SPRINGS RD STE C",
            "city": "KINGSTON SPRINGS",
            "state": "TN",
            "postal_code": "370829116",
            "telephone_number": "615-378-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGIN FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "CROWE",
        "authorized_official_first_name": "CARRINGTON",
        "authorized_official_title_or_position": "TEAM MEMBER",
        "authorized_official_telephone_number": "615-618-7668",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chiro@originfamilychiropractic.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 W Kingston Springs Rd Ste C",
            "city": "Kingston Springs",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370829116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Origin Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingston Springs, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.