NPIMap

Organization Active NPI

Marble City Chiropractic

  • Chiropractor
  • Knoxville, TN
National Provider Identifier
1649513490
Registry record updated Mar 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2587 Issued in TN
Legal business name
MARBLE CITY CHIROPRACTIC
Practice address
265 Brookview Centre Way
Suite 103
Knoxville, TN 37919-4049
Phone
(404) 542-1786
NPI assigned
Mar 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2013

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

Authorized official

Name
Dr. Mark Jacob Pendergrass, D.C.
Title
Owner
Phone
(404) 542-1786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2587 TN Primary

Addresses

Primary practice location

265 Brookview Centre Way
Suite 103
Knoxville, TN 37919-4049

Mailing address

265 Brookview Centre Way
Suite 103
Knoxville, TN 37919-4049
Phone (404) 542-1786

National Provider Directory

National Provider Directory

Locations

265 Brookview Centre Way
Ste 1
Knoxville, TN 37919
Phone (404) 542-1786

265 Brookview Centre Way
Ste 103
Knoxville, TN 37919
Phone (404) 542-1786

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1364601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364601600000",
    "number": "1649513490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 BROOKVIEW CENTRE WAY",
            "address_2": "SUITE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194049",
            "telephone_number": "404-542-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 BROOKVIEW CENTRE WAY",
            "address_2": "SUITE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194049",
            "telephone_number": "404-542-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARBLE CITY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-30",
        "last_updated": "2013-03-30",
        "status": "A",
        "authorized_official_last_name": "PENDERGRASS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-542-1786",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2587",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 30, 2013; 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.