Organization Active NPI

Dr. Chad C. Jacobs, P.C.

  • Independent Medical Examiner Chiropractor
  • Knoxville, TN
National Provider Identifier
1902120827
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
1979 Issued in TN
Legal business name
DR. CHAD C. JACOBS, P.C.
Practice address
130 Mabry Hood Rd Ste 106
Knoxville, TN 37922-2221
Phone
(865) 566-0325
Fax
(865) 566-0328
NPI assigned
Mar 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Authorized official

Name
Dr. Chad Curtis Jacobs, D.C.
Title
Owner
Phone
(865) 566-0325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NI0013X 1979 TN Primary

Addresses

Primary practice location

130 Mabry Hood Rd Ste 106
Knoxville, TN 37922-2221

Mailing address

130 Mabry Hood Rd Ste 106
Knoxville, TN 37922-2221
Phone (865) 566-0325

Other names 1

  • Optimum Chiro Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1902120827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MABRY HOOD RD STE 106",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379222221",
            "telephone_number": "865-566-0325",
            "fax_number": "865-566-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MABRY HOOD RD STE 106",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379222221",
            "telephone_number": "865-566-0325",
            "fax_number": "865-566-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CHAD C. JACOBS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-566-0325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "TN",
            "license": "1979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimum Chiro Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 22, 2010; 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.