Peter Charles Sulack D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PETER CHARLES SULACK D.C.

Practice address

10910 Kingston Pike
Suite 101
Knoxville, TN 37934-2931

Phone

(865) 675-2050

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Josh Eason

Title

Office Manager

Phone

(865) 675-2050

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Exodus Chiropractic Doing business as

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225065600000",
    "number": "1992830095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10910 KINGSTON PIKE",
            "address_2": "SUITE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342931",
            "telephone_number": "865-675-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10910 KINGSTON PIKE",
            "address_2": "SUITE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342931",
            "telephone_number": "865-675-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER CHARLES SULACK D.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-10-27",
        "status": "A",
        "authorized_official_last_name": "EASON",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "865-675-2050"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP BILLING",
            "identifier": "4033747",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Exodus Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jody Alan Persino, R.N.
• Personal Choice Health Care Service PC
• Personalized Caregiving of Tennessee, LLC
• Samantha Pesterfield
• Tracy A Pesut X, MD
• Emily Peters, M.S., CF-SLP
• Jenna Marie Peters, FNP-C
• Jessia Lynn Peters, MSSW
• Kristen Ganas Peters, RN
• Ryan Keith Peters, LPC-MHSP, NCC

• All providers in Knoxville, TN
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; 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.