Active NPI
Paul Caleb Edmiston, DC
- Neurology Chiropractor
- Knoxville, TN
National Provider Identifier
1881242212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 3110
- Practice address
- 120 Huxley Rd Ste 103
Knoxville, TN 37922-3188 - Phone
- (865) 712-4525
- NPI assigned
- Aug 28, 2019
- 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 |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 3110 | TN | Primary |
Addresses
Primary practice location
120 Huxley Rd Ste 103
Knoxville, TN 37922-3188
Mailing address
117 Newcastle Rd
Knoxville, TN 37909-2615
Phone (865) 712-4525
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3110 | TN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1881242212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 NEWCASTLE RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379092615",
"telephone_number": "865-712-4525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 HUXLEY RD STE 103",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379223188",
"telephone_number": "865-712-4525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDMISTON",
"first_name": "PAUL",
"middle_name": "CALEB",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-28",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "TN",
"license": "3110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.