Organization Active NPI

Cole Chiropractic Center

  • Chiropractor
  • Cordova, TN
National Provider Identifier
1699870543
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0000001155 Issued in TN
Legal business name
COLE CHIROPRACTIC CENTER
Practice address
8101 Walnut Run Rd
Cordova, TN 38018-6398
Phone
(901) 755-5515
Fax
(901) 755-5825
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Marci Sewell
Title
Office Manager
Phone
(901) 755-5515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC0000001155 TN Primary

Addresses

Primary practice location

8101 Walnut Run Rd
Cordova, TN 38018-6398

Mailing address

8101 Walnut Run Rd
Cordova, TN 38018-6398
Phone (901) 755-5515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070310000072 TN Part B Supplier - Clinic/Group Practice 4082717103 Receives reassigned benefits from 3 practitioners
Practice locations: Cordova, TN

National Provider Directory

National Provider Directory

Locations

8101 Walnut Run Rd
Cordova, TN 38018
Phone (901) 651-7575

Interoperability endpoints

  • Direct secure messaging: palmer@ccc0007.direct.chirotouch.md
  • Direct secure messaging: doc@ccc0007.direct.chirotouch.md

Practitioners & affiliated clinicians

Practitioners 7

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": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699870543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 WALNUT RUN RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186398",
            "telephone_number": "901-755-5515",
            "fax_number": "901-755-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 WALNUT RUN RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186398",
            "telephone_number": "901-755-5515",
            "fax_number": "901-755-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLE CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "MARCI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "901-755-5515"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000001155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.