Active NPI
Perfect Chiropractic
- Chiropractor
- Collierville, TN
National Provider Identifier
1922469485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 2842
- Legal business name
- PERFECT CHIROPRACTIC
- Practice address
- 1011 W Poplar Ave
Suite 1
Collierville, TN 38017-2585 - Phone
- (901) 602-9295
- NPI assigned
- Mar 11, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alan Richard Fredericks, DC
- Title
- Owner
- Phone
- (901) 602-9295
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 2842 | TN | Primary |
Addresses
Primary practice location
1011 W Poplar Ave
Suite 1
Collierville, TN 38017-2585
Mailing address
1011 W Poplar Ave
Suite 1
Collierville, TN 38017-2585
Phone (901) 602-9295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1011 W Poplar Ave
Ste 1
Collierville, TN 38017
Phone (901) 316-8762
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Collierville, TN
- NPI 1386005163
-
- Chiropractor
- Collierville, TN
- NPI 1437960564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1457654400000",
"number": "1922469485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 W POPLAR AVE",
"address_2": "SUITE 1",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380172585",
"telephone_number": "901-602-9295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 W POPLAR AVE",
"address_2": "SUITE 1",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380172585",
"telephone_number": "901-602-9295"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERFECT CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-11",
"last_updated": "2016-03-11",
"status": "A",
"authorized_official_last_name": "FREDERICKS",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "RICHARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "901-602-9295",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "TN",
"license": "DC 2842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Collierville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.