Active NPI
Joe William Ellen, D.C.
- Chiropractor
- Nashville, TN
National Provider Identifier
1609964048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 443
- Practice address
- 5530 Eulala Dr
Nashville, TN 37211-6145 - Phone
- (615) 333-3339
- Fax
- (615) 333-1358
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 443 | TN | Primary |
Addresses
Primary practice location
5530 Eulala Dr
Nashville, TN 37211-6145
Mailing address
5530 Eulala Dr
Nashville, TN 37211-6145
Phone (615) 333-3339
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 |
|---|---|---|---|
| 443 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full Circle Chiropractic & Wellness, PLLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Nashville, TN
- NPI 1073922167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609964048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5530 EULALA DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372116145",
"telephone_number": "615-333-3339",
"fax_number": "615-333-1358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5530 EULALA DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372116145",
"telephone_number": "615-333-3339",
"fax_number": "615-333-1358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLEN",
"first_name": "JOE",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, 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.