Organization Active NPI

Steven P Bailey D.C, P.C

Doing business as St Bethlehem Chiropractic Clinic

  • Chiropractor
  • Clarksville, TN
National Provider Identifier
1699035493
Registry record updated Dec 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0000000460 Issued in TN
Legal business name
STEVEN P BAILEY D.C, P.C
Doing business as
St Bethlehem Chiropractic Clinic
Practice address
2121 Wilma Rudolph Blvd Ste a
Clarksville, TN 37040-6877
Phone
(931) 645-9768
Fax
(931) 647-5975
NPI assigned
May 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2012

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

Authorized official

Name
Dr. Steven P Bailey, DC
Title
Owner/Doctor
Phone
(931) 645-9768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC0000000460 TN Primary

Addresses

Primary practice location

2121 Wilma Rudolph Blvd Ste a
Clarksville, TN 37040-6877

Mailing address

2121 Wilma Rudolph Blvd Ste a
Clarksville, TN 37040-6877
Phone (931) 645-9768

Other names 1

  • ST BETHLEHEM CHIROPRACTIC CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

2121 Wilma Rudolph Blvd
Ste A
Clarksville, TN 37040
Phone (931) 645-9768

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": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356048000000",
    "number": "1699035493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 WILMA RUDOLPH BLVD STE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406877",
            "telephone_number": "931-645-9768",
            "fax_number": "931-647-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 WILMA RUDOLPH BLVD STE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406877",
            "telephone_number": "931-645-9768",
            "fax_number": "931-647-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN P BAILEY D.C, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-12-21",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "931-645-9768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000000460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST BETHLEHEM CHIROPRACTIC CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 21, 2012; 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.