Organization Active NPI

Cross Chiropractic Center, LLC

  • Chiropractor
  • Hixson, TN
National Provider Identifier
1992811525
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
00812 Issued in TN
Legal business name
CROSS CHIROPRACTIC CENTER, LLC
Practice address
1920 Northpoint Blvd
Ste 118
Hixson, TN 37343-4055
Phone
(423) 875-3800
Fax
(423) 877-7226
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Authorized official

Name
Dr. Richard L. Cross, DCNPI 1285740928
Title
Owner
Phone
(423) 875-3800

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 00812 TN Primary

Addresses

Primary practice location

1920 Northpoint Blvd
Ste 118
Hixson, TN 37343-4055

Mailing address

1920 Northpoint Blvd
Ste 118
Hixson, TN 37343-4055
Phone (423) 875-3800

Other identifiers 3

IdentifierTypeStateIssuer
7363594OtherTNCIGNA
3676347MedicaidTN
0179851OtherTNBCBS TN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070611000698 TN Part B Supplier - Clinic/Group Practice 1759489974 Receives reassigned benefits from 1 practitioner
Practice locations: Hixson, TN

National Provider Directory

National Provider Directory

Locations

5017 Hixson Pike
#B
Hixson, TN 37343
Phone (423) 875-3800

1920 Northpoint Blvd
Ste 118
Hixson, TN 37343
Phone (423) 875-3800

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1992811525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 NORTHPOINT BLVD",
            "address_2": "STE 118",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434055",
            "telephone_number": "423-875-3800",
            "fax_number": "423-877-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 NORTHPOINT BLVD",
            "address_2": "STE 118",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434055",
            "telephone_number": "423-875-3800",
            "fax_number": "423-877-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-875-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "00812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7363594",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3676347",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "0179851",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.