Dornbier Enterprise Inc
Organization Active NPI Chiropractor · Cookeville, TN
NPI 1699205690 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1699205690
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- DORNBIER ENTERPRISE INC
- Practice address
- 280 S Jefferson Ave
Cookeville, TN 38501-3453 - Phone
- (931) 528-5284
- NPI assigned
- Jun 13, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Damon Clarence Dornbier, DC
- Title
- Owner/Ceo
- Phone
- (931) 528-5284
Practitioners 3
-
Damon C Dornbier, D.C.
-
Christopher Catalfo, D.C.
-
James Wade Bolton, DC, APRN, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170728002130 | TN | Part B Supplier - Clinic/Group Practice | 3274804976 |
Receives reassigned benefits from 2 practitioners Practice locations: Cookeville, TN |
National Provider Directory
Locations
280 S Jefferson Ave
Cookeville, TN 38501
Phone (931) 528-5284
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
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
- Wellspring Family Chiropractic
Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.