Organization Active NPI

Appalachian Chiropractic, P.C.

  • Chiropractor
  • Kingsport, TN
National Provider Identifier
1740499615
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
APPALACHIAN CHIROPRACTIC, P.C.
Practice address
205 E Sullivan St
Kingsport, TN 37660-4328
Phone
(423) 245-6189
Fax
(423) 378-4837
NPI assigned
May 21, 2007
Last updated
Sep 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Authorized official

Name
Regenia Jowers
Title
Office Manager
Phone
(423) 245-6189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

205 E Sullivan St
Kingsport, TN 37660-4328

Mailing address

205 E Sullivan St
Kingsport, TN 37660-4328
Phone (423) 245-6189

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120705000314 TN Part B Supplier - Clinic/Group Practice 2466617055 Receives reassigned benefits from 1 practitioner
Practice locations: Kingsport, TN

National Provider Directory

National Provider Directory

Locations

205 E Sullivan St
Kingsport, TN 37660
Phone (423) 245-6189

Practitioners & affiliated clinicians

Practitioners 2

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1740499615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E SULLIVAN ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604328",
            "telephone_number": "423-245-6189",
            "fax_number": "423-378-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E SULLIVAN ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604328",
            "telephone_number": "423-245-6189",
            "fax_number": "423-378-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "JOWERS",
        "authorized_official_first_name": "REGENIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-245-6189"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.