Individual provider Active NPI

Jonathan Sheridan, DC

  • Chiropractor
  • Murfreesboro, TN
National Provider Identifier
1831745603
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
TN3208 Issued in TN
Practice address
268 Veterans Pkwy Ste J
Murfreesboro, TN 37128-6432
Phone
(615) 768-9680
NPI assigned
Aug 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X TN3208 TN Primary

Addresses

Primary practice location

268 Veterans Pkwy Ste J
Murfreesboro, TN 37128-6432

Mailing address

268 Veterans Pkwy Ste J
Murfreesboro, TN 37128-6432

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220221000490 TN Practitioner - Chiropractic 5799179578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Chiropractic ClinicsGroup PAC ID 0840536728, 5 clinicians

Practice addresses (Care Compare)

220 Veterans Pkwy
Suite E
Murfreesboro, TN 37128-6436
Phone (615) 603-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
TN3208TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Chiropractic Clinics Chiropractor CurrentSince Dec 10, 2023 Accepting new patients
Come to Life Chiropractic, LLC Chiropractor CurrentSince Apr 17, 2020 Accepting new patients
Dynamic Chiropractic Clinics Chiropractor CurrentSince Feb 6, 2022 Accepting new patients
Mitchell Stanlick, D.C., LLC Chiropractor Past Accepting new patients

Locations

3918 Cedar Glades Dr
Murfreesboro, TN 37128
Phone (615) 907-7490

268 Veterans Pkwy
Ste J
Murfreesboro, TN 37128
Phone (615) 768-9680

220 Veterans Pkwy
Ste E
Murfreesboro, TN 37128
Phone (615) 907-2030

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1831745603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 VETERANS PKWY STE J",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371286432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 VETERANS PKWY STE J",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371286432",
            "telephone_number": "615-768-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "JONATHAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "TN3208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.