Cumberland Chiropractic and Sports Medicine, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

TN2103 Issued in TN

Legal business name

CUMBERLAND CHIROPRACTIC AND SPORTS MEDICINE, LLC

Practice address

1633 W Main St
#401
Lebanon, TN 37087-3423

Phone

(615) 444-2234

Fax

(615) 547-4849

NPI assigned

Jan 2, 2013

Organization subpart

No

Name

Dr. Ryan Wayne House, D.C.NPI 1891732517

Title

Sole Member

Phone

(615) 444-2234

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

• Ryan Wayne House, D.C.

  • Chiropractor
  • Lebanon, TN
  • NPI 1891732517
  Medicare reassignment Care Compare group NPD Authorized official
• Ryan Dakota Moore, D.C.

  • Chiropractor
  • Lebanon, TN
  • NPI 1174060974
  Medicare reassignment Care Compare group NPD
• Charles Frederec Spencer, DC

  • Chiropractor
  • Murfreesboro, TN
  • NPI 1972816817
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 15, 2016.

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1881930337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 W MAIN ST",
            "address_2": "#401",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873423",
            "telephone_number": "615-444-2234",
            "fax_number": "615-547-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 W MAIN ST",
            "address_2": "#401",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873423",
            "telephone_number": "615-444-2234",
            "fax_number": "615-547-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND CHIROPRACTIC AND SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-02",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "615-444-2234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "TN2103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol V Crockett, PTA
• Lauren Crotzer
• Samuel John Crutcher, M.D.
• Britney Cuevas
• Cumberland Ambulatory Physicians PC
• Cumberland Pediatric Associates PC
• Cumberland Skin Surgery and Dermatology
• Lauren Cummings, PT, DPT
• Isabella Rose Curcio
• Amanda Curtis, NURSE PRACTITIONER

• All providers in Lebanon, TN
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.