Edc Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

EDC CHIROPRACTIC INC.

Doing business as

Watts Chiropractic

Practice address

1011 W Broadway Ave
Maryville, TN 37801-4638

Phone

(865) 983-3333

NPI assigned

Jun 11, 2020

Organization subpart

No

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

Authorized official

Name

Jeremy Mark Book, DCNPI 1659529667

Title

Director

Phone

(865) 983-3333

Specialties & licenses 1

Addresses

Other names 1

• Watts Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

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

• Jeremy Book, D.C.

  • Chiropractor
  • O Fallon, IL
  • NPI 1659529667

  TN

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1891310231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WESTERN AVE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062424",
            "telephone_number": "207-775-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W BROADWAY AVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378014638",
            "telephone_number": "865-983-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDC CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "BOOK",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "865-983-3333",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Watts Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• East Tennessee Senior Care
• Cynthia J Easter, M.D.
• Easterly Family Medicine
• Jeffery Easterly, MD
• Jeffrey Jennings Eberting, D.M.D.
• Bethany Edmond
• Emery Edmondson, DO
• Grace Ann Rose Eldridge
• Ainsley Ellington, RN, IBCLC
• Matthew Allen Elliott, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.