Juan Tan Aristorenas Jr., MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00008527 Issued in TN

Practice address

135 West Main Street
Adamsville, TN 38310-0311

Phone

(731) 632-3373

Fax

(731) 632-9335

NPI assigned

Oct 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General PracticeAlso: General Surgery

Education

University of Tennessee, HSC, College of Medicine, 1969

Medicare assignment

May accept Medicare assignment

Group practices

Aristorenas Health ClinicGroup PAC ID 4385965920, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aristorenas Health Clinic

  • Rural Health Clinic/Center
  • Adamsville, TN
  • NPI 1942691878
  Medicare reassignment Care Compare group NPD
• Professional Imaging of Tennessee

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Somerville, TN
  • NPI 1073569901
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992888226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W MAIN ST.",
            "city": "ADAMSVILLE",
            "state": "TN",
            "postal_code": "383100311",
            "telephone_number": "731-632-3373",
            "fax_number": "731-632-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 WEST MAIN STREET",
            "city": "ADAMSVILLE",
            "state": "TN",
            "postal_code": "383100311",
            "telephone_number": "731-632-3373",
            "fax_number": "731-632-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARISTORENAS",
        "first_name": "JUAN",
        "middle_name": "TAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD00008527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3158065",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adamsville Healthcare LLC (Tri County Healthcare Center)
• Adamsville Healthcare LLC (Tri-County Healthcare Center)
• Adamsville Operating Group LLC
• Valerie Ann Alexander X, DPH
• Aristorenas Health Clinic
• Valerie R Barber, PA
• Barnes Family Chiropractic Center, LLC
• Barnes Management Co Inc (Barnes Family Chiropractic Center)
• Matthew S. Barnes, D.C.
• Robin B. Barnes, D.C.

• Specialist in Adamsville, TN
• Providers in Adamsville, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.