Active NPI
Lora Kay Derr, DC
- Chiropractor
- Cleveland, TN
National Provider Identifier
1609949114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC329
- Practice address
- 463 1St St NW
Cleveland, TN 37311 - Phone
- (423) 479-9487
- Fax
- (423) 471-8570
- NPI assigned
- Nov 15, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC329 | TN | Primary |
Addresses
Primary practice location
463 1St St NW
Cleveland, TN 37311
Mailing address
463 1St St NW
Cleveland, TN 37311
Phone (423) 479-9487
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0021996 | Other | TN | BC BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC329 | TN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Derr Chiropractic | Past | Accepting new patients | |
| At Home Primary Care Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609949114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "463 1ST ST NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "37311",
"telephone_number": "423-479-9487",
"fax_number": "423-471-8570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "463 1ST ST NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "37311",
"telephone_number": "423-479-9487",
"fax_number": "423-471-8570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERR",
"first_name": "LORA",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "DC329",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "0021996",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.