Philip Edward Nielson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

636 Issued in TN

Practice address

4010 Fountain Valley Dr
Suite 3
Knoxville, TN 37918

Phone

(865) 922-5555

Fax

(865) 922-5554

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Total Health PLLC

  • Multi-Specialty Clinic/Center
  • Chattanooga, TN
  • NPI 1447277181

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1649375346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 FOUNTAIN VALLEY DR",
            "address_2": "SUITE 3",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379185336",
            "telephone_number": "865-922-5555",
            "fax_number": "865-922-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 FOUNTAIN VALLEY DR",
            "address_2": "SUITE 3",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37918",
            "telephone_number": "865-922-5555",
            "fax_number": "865-922-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSON",
        "first_name": "PHILIP",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "4440011",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2006622",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Nickens, FNP-BC
• Todd A. Nickloes, D.O.
• Bruce Michael Nicoara, DPT
• Dorilynn Nicol, DNP, CRNA, APRN
• Todd B Nidiffer, CRNA
• Abigail Overholt Nieman, CPNP-PC
• Anna Christine Nieri, APRN
• Chase Nieri, D.D.S.
• Nat Nigro, M.ED., NCC
• Priyanka M Nimbalkar, MD

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

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

Verify at the official NPI Registry.