Birdwell Chiropractic Clinic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC0000000136 Issued in TN

Legal business name

BIRDWELL CHIROPRACTIC CLINIC, PLLC

Practice address

729 W Lamar Alexander Pkwy
Maryville, TN 37801-3945

Phone

(865) 982-0802

Fax

(865) 984-2225

NPI assigned

Jun 14, 2007

Last updated

Nov 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph C. Birdwell, D.C.

Title

Registered Agent

Phone

(865) 982-0802

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

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.

• Kara L Birdwell, DC

  • Chiropractor
  • Maryville, TN
  • NPI 1386800340
  Medicare reassignment

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1821292442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 W LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378013945",
            "telephone_number": "865-982-0802",
            "fax_number": "865-984-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 W LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378013945",
            "telephone_number": "865-982-0802",
            "fax_number": "865-984-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRDWELL CHIROPRACTIC CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "BIRDWELL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "REGISTERED  AGENT",
        "authorized_official_telephone_number": "865-982-0802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000000136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4486027",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1507486",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "4440144",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "4482807",
            "identifier": "AETNA",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350042873",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "4146350",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon M Billingsley, OD
• Samantha Denali Bingham, DO
• Chelsey Birch, LPC-MHSP
• Ann Bird, CCC-SLP
• Corey Brandon Bird
• Kara L Birdwell, DC
• Bite Size Pediatric Therapy
• Amanda Jean Bivens, OTR/L
• BJ's Wholesale Club Inc.
• Carl Joseph Black, PT, SCS, ATC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.