Medina Family Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2406 Issued in TN

Legal business name

MEDINA FAMILY CHIROPRACTIC LLC

Practice address

611 Highway 45 Byp S
Medina, TN 38355-9629

Phone

(731) 783-0602

Fax

(731) 783-0604

NPI assigned

Dec 28, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Heather Ann Martin, DCNPI 1144552878

Title

Co-Owner

Phone

(731) 783-0602

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

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

• Heather Ann Martin, D.C.

  • Chiropractor
  • Medina, TN
  • NPI 1144552878
  Medicare reassignment Care Compare group NPD Authorized official
• Angela Marie Hobbs, D.C.

  • Chiropractor
  • Medina, TN
  • NPI 1891098554
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1841655487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 HIGHWAY 45 BYP S",
            "city": "MEDINA",
            "state": "TN",
            "postal_code": "383559629",
            "telephone_number": "731-783-0602",
            "fax_number": "731-783-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 HIGHWAY 45 BYP S",
            "city": "MEDINA",
            "state": "TN",
            "postal_code": "383559629",
            "telephone_number": "731-783-0602",
            "fax_number": "731-783-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "731-783-0602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2406",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2869",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmy R Lewis
• Martin Family Chiropractic
• Heather Ann Martin, D.C.
• Medina Eye Clinic PC
• Medina Eyecare
• Medina Family Medical Clinic PC
• Medina Health & Rehabilitation LLC
• Kimberle Anne Moody, PTA
• Rachel Alexandra Nelson, DO
• Michael Edward Ort, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.