Organization Active NPI

Rutherford Clinic of Chiropractic Corp

  • Chiropractor
  • Murfreesboro, TN
National Provider Identifier
1841337243
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0000001944 Issued in TN
Legal business name
RUTHERFORD CLINIC OF CHIROPRACTIC CORP
Practice address
1139 NW Broad St Ste 103
Murfreesboro, TN 37129-2390
Phone
(615) 217-0097
Fax
(615) 848-0038
NPI assigned
Feb 1, 2007
Last updated
Mar 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Authorized official

Name
Lynesa T Copeland
Title
Office Manager
Phone
(615) 217-0097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC0000001944 TN Primary

Addresses

Primary practice location

1139 NW Broad St Ste 103
Murfreesboro, TN 37129-2390

Mailing address

1139 NW Broad St
Suite 103
Murfreesboro, TN 37129-2378
Phone (615) 217-0097

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040329001482 TN Part B Supplier - Clinic/Group Practice 1951293349 Receives reassigned benefits from 2 practitioners
Practice locations: Murfreesboro, TN

National Provider Directory

National Provider Directory

Locations

1313 Memorial Blvd
Murfreesboro, TN 37129

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": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1841337243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 NW BROAD ST",
            "address_2": "SUITE 103",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292378",
            "telephone_number": "615-217-0097",
            "fax_number": "615-848-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 NW BROAD ST STE 103",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292390",
            "telephone_number": "615-217-0097",
            "fax_number": "615-848-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTHERFORD CLINIC OF CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "LYNESA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-217-0097"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000001944",
            "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 Mar 22, 2022; 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.