Individual provider Active NPI

David Eric Snook, D.C.

  • Chiropractor
  • Portland, TN
National Provider Identifier
1699114546
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3516 Issued in TN
Practice address
826 S Broadway St
Portland, TN 37148-1622
Phone
(615) 826-7889
NPI assigned
Jun 24, 2013
Last updated
Jun 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012478 IL
Chiropractor 111N00000X 3516 TN Primary

Addresses

Primary practice location

826 S Broadway St
Portland, TN 37148-1622

Mailing address

210 Middle Dayle Dr
Portland, TN 37148-2060
Phone (217) 260-7931

Other names 1

  • David Eric Snook Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220714001327 TN Practitioner - Chiropractic 8123269982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2013
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

826 S Broadway St
Portland, TN 37148-1622
Phone (615) 323-0130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3516TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Abrahamson Chiropractic and Wellness Chiropractor CurrentSince Jul 1, 2022 Accepting new patients
Abrahamson Chiropractic and Wellness of Portland Chiropractor CurrentSince Jul 1, 2022 Accepting new patients

Locations

165 Indian Lake Blvd
Ste 102
Hendersonvlle, TN 37075
Phone (615) 826-7889

826 S Broadway St
Portland, TN 37148
Phone (217) 260-7931

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1699114546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MIDDLE DAYLE DR",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371482060",
            "telephone_number": "217-260-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 S BROADWAY ST",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371481622",
            "telephone_number": "615-826-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOOK",
        "first_name": "DAVID",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-24",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012478",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "SNOOK",
            "middle_name": "ERIC",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Portland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.