Organization Active NPI

Marathon Chiropractic

  • Chiropractor
  • Clarksville, TN
National Provider Identifier
1659603058
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MARATHON CHIROPRACTIC
Practice address
1715 Wilma Rudolph Blvd Ste E
Clarksville, TN 37040-6861
Phone
(419) 733-3209
NPI assigned
Feb 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Dr. Dale Rie Brown, D.C.NPI 1568794956
Title
Owner
Phone
(419) 733-3209

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1715 Wilma Rudolph Blvd Ste E
Clarksville, TN 37040-6861

Mailing address

1715 Wilma Rudolph Blvd Ste E
Clarksville, TN 37040-6861

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120124000618 TN Part B Supplier - Clinic/Group Practice 5597932053 Receives reassigned benefits from 1 practitioner
Practice locations: Clarksville, TN

National Provider Directory

National Provider Directory

Locations

1715 Wilma Rudolph Blvd
Ste E
Clarksville, TN 37040
Phone (419) 733-3209

1715 Wilma Rudolph Blvd
Clarksville, TN 37040
Phone (931) 591-2010

Practitioners & affiliated clinicians

Practitioners 1

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": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1659603058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 WILMA RUDOLPH BLVD STE E",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 WILMA RUDOLPH BLVD STE E",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406861",
            "telephone_number": "419-733-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "RIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-733-3209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 May 1, 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.