Illuminate Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ILLUMINATE CHIROPRACTIC

Doing business as

Illuminate Chiropractic

Practice address

810 Dominican Dr Ste 106
Nashville, TN 37228-1906

Phone

(615) 606-2023

NPI assigned

Dec 19, 2018

Organization subpart

No

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

Authorized official

Name

Loni Marie McClellan

Title

Owner

Phone

(615) 606-2023

Specialties & licenses 1

Addresses

Other names 1

• Illuminate Chiropractic Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1932671666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 DOMINICAN DR STE 106",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281906",
            "telephone_number": "615-606-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 DOMINICAN DR STE 106",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281906",
            "telephone_number": "615-606-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "MCCLELLAN",
        "authorized_official_first_name": "LONI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-606-2023"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "6087803283",
            "affiliation": "N",
            "endpointDescription": "Cellphone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Cellphone",
            "address_1": "810 Dominican Dr Ste 106",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372281906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Illuminate Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Illuminate Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.