Individual provider Active NPI

Michael Scott Waido

  • Chiropractor
  • Lawrenceburg, TN
National Provider Identifier
1871197459
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3501 Issued in TN
Practice address
399 W Gaines St
Lawrenceburg, TN 38464-3604
Phone
(931) 244-1224
NPI assigned
Nov 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.013632 IL
Chiropractor 111N00000X 3501 TN Primary

Addresses

Primary practice location

399 W Gaines St
Lawrenceburg, TN 38464-3604

Mailing address

399 W Gaines St
Lawrenceburg, TN 38464-3604
Phone (931) 244-1224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3501TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Management LTD Chiropractor CurrentSince Jan 31, 2021 Accepting new patients
Family Roots Chiropractic LLC Chiropractor CurrentSince Jan 5, 2025 Accepting new patients

Locations

399 W Gaines St
Lawrenceburg, TN 38464
Phone (931) 244-1224

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1871197459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 W GAINES ST",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384643604",
            "telephone_number": "931-244-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 W GAINES ST",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384643604",
            "telephone_number": "931-244-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAIDO",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-24",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013632",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.