Organization Active NPI

Memphis Spine and Sport

  • Chiropractor
  • Cordova, TN
National Provider Identifier
1730655663
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MEMPHIS SPINE AND SPORT
Practice address
1740 N Germantown Pkwy Ste 6
Cordova, TN 38016-3308
Phone
(901) 752-4300
Fax
(901) 244-7072
NPI assigned
Oct 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Authorized official

Name
Mrs. Ashley Bibb
Title
Office Manager
Phone
(901) 752-4300

Specialties & licenses 1

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

Addresses

Primary practice location

1740 N Germantown Pkwy Ste 6
Cordova, TN 38016-3308

Mailing address

1740 N Germantown Pkwy Ste 6
Cordova, TN 38016-3308
Phone (901) 752-4300

National Provider Directory

National Provider Directory

Locations

1740 N Germantown Pkwy
Ste 6
Cordova, TN 38016
Phone (901) 752-4300

NPI Registry JSON

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1730655663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 N GERMANTOWN PKWY STE 6",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380163308",
            "telephone_number": "901-752-4300",
            "fax_number": "901-244-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 N GERMANTOWN PKWY STE 6",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380163308",
            "telephone_number": "901-752-4300",
            "fax_number": "901-244-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS SPINE AND SPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "BIBB",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OFFICE  MANAGER",
        "authorized_official_telephone_number": "901-752-4300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 Oct 18, 2018; 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.