NPIMap

Organization Active NPI

Fountain City Chiropractic Clinic

  • Chiropractor
  • Knoxville, TN
National Provider Identifier
1649484650
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
186 Issued in TN
Legal business name
FOUNTAIN CITY CHIROPRACTIC CLINIC
Practice address
305 Hotel Rd
Knoxville, TN 37918-3229
Phone
(865) 688-1101
Fax
(865) 688-1109
NPI assigned
May 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James William Cawrse Jr., D.C.NPI 1609939958
Title
Owner
Phone
(865) 688-1101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 194 TN
Chiropractor 111N00000X 186 TN Primary

Addresses

Primary practice location

305 Hotel Rd
Knoxville, TN 37918-3229

Mailing address

305 Hotel Rd
Knoxville, TN 37918-3229
Phone (865) 688-1101

Other identifiers 2

IdentifierTypeStateIssuer
2007703OtherTNBLUE CROSS BLUE SHIELD
2009917OtherTNBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

305 Hotel Rd
Knoxville, TN 37918
Phone (865) 688-1101

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": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649484650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 HOTEL RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379183229",
            "telephone_number": "865-688-1101",
            "fax_number": "865-688-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 HOTEL RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379183229",
            "telephone_number": "865-688-1101",
            "fax_number": "865-688-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN CITY CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAWRSE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-688-1101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "194",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2007703",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2009917",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.