Organization Active NPI

Chiropractic Center, P.C.

  • Chiropractor
  • Talbott, TN
National Provider Identifier
1801070586
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
TN796 Issued in TN
Legal business name
CHIROPRACTIC CENTER, P.C.
Practice address
6156 W Andrew Johnson Hwy
Talbott, TN 37877-8603
Phone
(423) 581-7629
Fax
(423) 581-6551
NPI assigned
Dec 18, 2007
Last updated
Feb 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Authorized official

Name
Mr. Stephen L. ClarkeNPI 1972610475
Title
Owner/Physician
Phone
(423) 581-7629

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 TN796 TN Primary

Addresses

Primary practice location

6156 W Andrew Johnson Hwy
Talbott, TN 37877-8603

Mailing address

PO Box 338
Talbott, TN 37877-0338
Phone (423) 581-7629

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120314000392 TN Part B Supplier - Clinic/Group Practice 4385803154 Receives reassigned benefits from 1 practitioner
Practice locations: Talbott, TN

National Provider Directory

National Provider Directory

Locations

6156 W Andrew Johnson Hwy
Talbott, TN 37877
Phone (423) 581-6551

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": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1801070586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378770338",
            "telephone_number": "423-581-7629",
            "fax_number": "423-581-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6156 W ANDREW JOHNSON HWY",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378778603",
            "telephone_number": "423-581-7629",
            "fax_number": "423-581-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "423-581-7629",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "TN796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Talbott, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.