Organization Active NPI

Tester Chiropractic, PLLC

Doing business as One Chiropractic

  • Chiropractor
  • McKenzie, TN
National Provider Identifier
1912410887
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2822 Issued in TN
Legal business name
TESTER CHIROPRACTIC, PLLC
Doing business as
One Chiropractic
Practice address
62 Hospital Dr
MC Kenzie, TN 38201
Phone
(731) 441-7874
Fax
(731) 352-8005
NPI assigned
Nov 14, 2017
Last updated
Nov 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Authorized official

Name
Dr. Ashley Tester, DCNPI 1538567367
Title
Doctor/Owner
Phone
(731) 441-7874

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2822 TN Primary

Addresses

Primary practice location

62 Hospital Dr
MC Kenzie, TN 38201

Mailing address

62 Hospital Dr
MC Kenzie, TN 38201-1637
Phone (731) 441-7874

Other identifiers 1

IdentifierTypeStateIssuer
Q036427MedicaidTN

Other names 1

  • ONE CHIROPRACTIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180719000199 TN Part B Supplier - Clinic/Group Practice 8123373966 Receives reassigned benefits from 1 practitioner
Practice locations: MC Kenzie, TN

National Provider Directory

National Provider Directory
Tax ID family
One Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

62 Hospital Dr
Mc Kenzie, TN 38201
Phone (731) 441-7874

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1912410887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 HOSPITAL DR",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382011637",
            "telephone_number": "731-441-7874",
            "fax_number": "731-352-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 HOSPITAL DR",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "38201",
            "telephone_number": "731-441-7874",
            "fax_number": "731-352-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESTER CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "TESTER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "731-441-7874",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q036427",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ONE CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McKenzie, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.