Crossville Family Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC0000002209 Issued in TN

Legal business name

CROSSVILLE FAMILY CHIROPRACTIC PLLC

Practice address

2625 N Main St Ste 202
Crossville, TN 38555-5445

Phone

(931) 456-8880

Fax

(931) 456-8883

NPI assigned

Dec 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Mitchell Robertson, D.C.

Title

Owner

Phone

(931) 456-8880

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1740464544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 N MAIN ST STE 202",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555445",
            "telephone_number": "931-456-8880",
            "fax_number": "931-456-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 N MAIN ST STE 202",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555445",
            "telephone_number": "931-456-8880",
            "fax_number": "931-456-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSVILLE FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-456-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000002209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3868612",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Crossville, TN
• Providers in Crossville, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.