Organization Active NPI

Margata Incorpation

  • Chiropractor
  • Knoxville, TN
National Provider Identifier
1659637049
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
681 Issued in TN
Legal business name
MARGATA INCORPATION
Practice address
710 Merchant Drive
Knoxville, TN 37912
Phone
(865) 687-7246
Fax
(865) 688-7965
NPI assigned
Apr 10, 2012
Last updated
Apr 10, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
MENDEZ CHIROPRACTIC CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Manuel Mendez, D.C.NPI 1538283270
Title
Chiropractor
Phone
(865) 687-7246

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 681 TN Primary

Addresses

Primary practice location

710 Merchant Drive
Knoxville, TN 37912

Mailing address

710 Merchant Drive
Knoxville, TN 37912
Phone (865) 687-7246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120618000059 TN Part B Supplier - Clinic/Group Practice 3870757115 Receives reassigned benefits from 1 practitioner
Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory
Part of
Margata Incorpation

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": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1659637049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 MERCHANT DRIVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37912",
            "telephone_number": "865-687-7246",
            "fax_number": "865-688-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 MERCHANT DRIVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37912",
            "telephone_number": "865-687-7246",
            "fax_number": "865-688-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGATA INCORPATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MENDEZ CHIROPRACTIC CENTER",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "865-687-7246",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "681",
            "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 Apr 10, 2012; 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.