Organization Active NPI

Henderson County Clinic of Chiropractic PLLC

  • Chiropractor
  • Lexington, TN
National Provider Identifier
1649410465
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2323 Issued in TN
Legal business name
HENDERSON COUNTY CLINIC OF CHIROPRACTIC PLLC
Practice address
16570 Highway 104 N
Lexington, TN 38351-3847
Phone
(731) 249-5640
NPI assigned
Mar 6, 2009
Last updated
Apr 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Authorized official

Name
Dr. Stephen MerrillNPI 1386884195
Title
Clinic Doctor
Phone
(731) 249-5640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2323 TN Primary

Addresses

Primary practice location

16570 Highway 104 N
Lexington, TN 38351-3847

Mailing address

16570 Highway 104 N
Lexington, TN 38351-3847
Phone (731) 249-5640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090506000400 TN Part B Supplier - Clinic/Group Practice 5092863746 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, TN

National Provider Directory

National Provider Directory

Locations

16570 Highway 104 N
Lexington, TN 38351
Phone (731) 249-5640

16570 Highway 104 N
Ste A
Lexington, TN 38351
Phone (731) 249-5640

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1649410465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16570 HIGHWAY 104 N",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383513847",
            "telephone_number": "731-249-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16570 HIGHWAY 104 N",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383513847",
            "telephone_number": "731-249-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON COUNTY CLINIC OF CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "MERRILL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CLINIC DOCTOR",
        "authorized_official_telephone_number": "731-249-5640",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.