Organization Active NPI

Dornbier Enterprise Inc

Doing business as Wellspring Family Chiropractic

  • Chiropractor
  • Cookeville, TN
National Provider Identifier
1699205690
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DORNBIER ENTERPRISE INC
Doing business as
Wellspring Family Chiropractic
Practice address
280 S Jefferson Ave
Cookeville, TN 38501-3453
Phone
(931) 528-5284
NPI assigned
Jun 13, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Damon Clarence Dornbier, DCNPI 1811960586
Title
Owner/Ceo
Phone
(931) 528-5284

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 Primary

Addresses

Primary practice location

280 S Jefferson Ave
Cookeville, TN 38501-3453

Mailing address

280 S Jefferson Ave
Cookeville, TN 38501-3453
Phone (931) 528-5284

Other names 1

  • Wellspring Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170728002130 TN Part B Supplier - Clinic/Group Practice 3274804976 Receives reassigned benefits from 2 practitioners
Practice locations: Cookeville, TN

National Provider Directory

National Provider Directory

Locations

280 S Jefferson Ave
Cookeville, TN 38501
Phone (931) 528-5284

Practitioners & affiliated clinicians

Practitioners 4

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": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1699205690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 S JEFFERSON AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013453",
            "telephone_number": "931-528-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 S JEFFERSON AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013453",
            "telephone_number": "931-528-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORNBIER ENTERPRISE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DORNBIER",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "CLARENCE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "931-528-5284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellspring Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellspring Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.