Individual provider Active NPI

Anthony Joseph Linza Jr., D.C., FIAMA

  • Chiropractor
  • Clarksville, TN
National Provider Identifier
1649658295
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2814 Issued in TN
Practice address
1718 Memorial Dr
Clarksville, TN 37043-4542
Phone
(931) 444-5955
Fax
(931) 444-3947
NPI assigned
May 15, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2814 TN Primary

Addresses

Primary practice location

1718 Memorial Dr
Clarksville, TN 37043-4542

Mailing address

1718 Memorial Dr
Clarksville, TN 37043-4542
Phone (931) 444-5955

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL knowbullchiropractic@gmail.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150617000183 TN Practitioner - Chiropractic 3870804933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knowbull ChiropracticGroup PAC ID 5799196044, 2 clinicians

Practice addresses (Care Compare)

1718 Memorial Dr
Clarksville, TN 37043-4542
Phone (931) 444-5955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2814TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Knowbull Chiropractic Chiropractor CurrentSince Sep 22, 2020 Accepting new patients

Locations

1718 Memorial Dr
Clarksville, TN 37043
Phone (931) 444-5955

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.

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1649658295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 MEMORIAL DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434542",
            "telephone_number": "931-444-5955",
            "fax_number": "931-444-3947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 MEMORIAL DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434542",
            "telephone_number": "931-444-5955",
            "fax_number": "931-444-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINZA",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C., FIAMA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-15",
        "last_updated": "2020-11-04",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "knowbullchiropractic@gmail.com",
            "affiliation": "N",
            "address_1": "1718 Memorial Dr",
            "city": "Clarksville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370434542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.