NPIMap

Organization Active NPI

Prospine PLC

  • Chiropractor
  • Memphis, TN
National Provider Identifier
1780923417
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2613 Issued in TN
Legal business name
PROSPINE PLC
Practice address
4646 Poplar Ave
Suite # 105
Memphis, TN 38117-4426
Phone
(716) 524-0007
NPI assigned
Jan 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Authorized official

Name
Dr. Yazan Jabaji, D.C.NPI 1477805240
Title
Clinical Director
Phone
(716) 524-0007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2613 TN Primary

Addresses

Primary practice location

4646 Poplar Ave
Suite # 105
Memphis, TN 38117-4426

Mailing address

4646 Poplar Ave
Suite # 105
Memphis, TN 38117-4426

National Provider Directory

National Provider Directory

Locations

4646 Poplar Ave
Ste 105
Memphis, TN 38117
Phone (716) 524-0007

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1780923417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 POPLAR AVE",
            "address_2": "SUITE # 105",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 POPLAR AVE",
            "address_2": "SUITE # 105",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174426",
            "telephone_number": "716-524-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPINE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "JABAJI",
        "authorized_official_first_name": "YAZAN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "716-524-0007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.