Active NPI
Daniel Terry Cole, D.C.
- Chiropractor
- Waverly, TN
National Provider Identifier
1861660896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1915
- Practice address
- 40 Walton Dr
Waverly, TN 37185-3383 - Phone
- (931) 296-7220
- NPI assigned
- Feb 12, 2008
- Last updated
- Jan 21, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1915 | TN | Primary |
Addresses
Primary practice location
40 Walton Dr
Waverly, TN 37185-3383
Mailing address
40 Walton Dr
Waverly, TN 37185-3383
Phone (931) 296-7220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2000
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
103 Pavo St
Waverly, TN 37185-1527
Phone (931) 296-7220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1915 | TN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Brings Life | Chiropractor | Current | Accepting new patients |
| Life Source Creating Wellness Ctr Inc | Chiropractor | Past | Accepting new patients |
Locations
103 Pavo St
Waverly, TN 37185
Phone (931) 296-7220
40 Walton Dr
Ste C
Waverly, TN 37185
Phone (931) 296-7220
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Chiropractor
- Waverly, TN
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232496000000",
"number": "1861660896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 WALTON DR",
"city": "WAVERLY",
"state": "TN",
"postal_code": "371853383",
"telephone_number": "931-296-7220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 WALTON DR",
"city": "WAVERLY",
"state": "TN",
"postal_code": "371853383",
"telephone_number": "931-296-7220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "DANIEL",
"middle_name": "TERRY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-12",
"last_updated": "2009-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "1915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waverly, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.