DR. CHARLES KENNETH MCCLELLAN JR. (NPI# 1083676753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083676753 |
Entity Type | Individual |
Full Name | DR. CHARLES KENNETH MCCLELLAN JR. |
Credential | D.C. |
Practice Address |
718 Thompson Ln Suite 119 Nashville TN 37204-3612 |
Practice Telephone | 6152922797 |
Practice Fax Number | 6154670963 |
Mailing Telephone | 6152922797 |
Mailing Fax Number | 6154670963 |
Enumeration Date | 2006-04-06 |
Last Update Date | 2007-11-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC0000001477 | TN | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | BCBS | 4118747 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942597570 | Charles Allen Mcclellan | Pharmacist | 8223 State Highway 151, San Antonio, TX 78245-2104 | 2011-07-04 |
Street Address |
718 THOMPSON LN SUITE 119 |
City | NASHVILLE |
State | TN |
Zip Code | 37204-3612 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437691714 | A Step Ahead Orthotics and Prosthetics Inc | Prosthetic/Orthotic Supplier | 718 Thompson Ln, Ste 115, Nashville, TN 37204-3600 | 2016-11-17 |
1437319597 | A Step Ahead, LLC | Prosthetic/Orthotic Supplier | 718 Thompson Ln, Suite 115, Nashville, TN 37204-3612 | 2008-06-12 |
1740479294 | Chiropractic Nashville, PC | Chiropractor | 718 Thompson Ln, Suite 119, Nashville, TN 37204-3612 | 2007-10-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992304893 | Results-ast Jv, LLC | Physical Therapist | 2659 8th Avenue South, Nashville, TN 37204 | 2020-10-21 |
1811516933 | Kinsley Ojukwu | Student in an Organized Health Care Education/Training Program | Oho Primary Care North, 719 Thompson Ln Suite 20400, Nashville, TN 37204 | 2020-04-09 |
1649777350 | Ian Bentley | Student in an Organized Health Care Education/Training Program | 719 Thompson Lane, Pod B, Nashville, TN 37204 | 2018-04-09 |
1134622160 | Joshua Shane Carty | Student in an Organized Health Care Education/Training Program | 719 Thompson Ln Pod A, Nashville, TN 37204 | 2018-03-15 |
1205340197 | Cam LLC | Chiropractor | 2694 Fessey Ct., Nashville, TN 37204 | 2017-11-30 |
1679097141 | Lacey Cross | Nurse Practitioner | 2694 Fessey Court, Nashville, TN 37204 | 2017-07-27 |
1346763042 | Lucy Elaine Davidson | Counselor | 416 East Iris Dr., Nashville, TN 37204 | 2017-07-25 |
1316468358 | Jasmine Kennedy Jester | Counselor | 717 Hart Lane, Nashville, TN 37204 | 2017-06-29 |
1447789649 | Jessica Ramey | Counselor | 4623 Trousdale Drive, Nashville, TN 37204 | 2017-06-09 |
1023555893 | Anna Claire Lowder | Marriage & Family Therapist | 701 Bradford Avenue, Nashville, TN 37204 | 2017-01-31 |
Find all providers in zip 37204 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740881523 | Mitchell Craig Mcguire | Chiropractor | 28 White Bridge Pike Ste 316, Nashville, TN 37205-1467 | 2020-11-06 |
1093368599 | Geyshla Feliciano | Chiropractor | 5609 Ohio Ave Ste A, Nashville, TN 37209-1455 | 2019-07-23 |
1073172664 | Brittney Michelle Mcgetrick | Chiropractor | 1222 16th Ave S Ste 10, Nashville, TN 37212-2926 | 2019-06-07 |
1144792631 | Rabiei Chiropractic LLC | Chiropractor | 5710 Hickory Plz Ste 101, Nashville, TN 37211-6797 | 2018-12-20 |
1164916748 | Loni Marie Mcclellan | Chiropractor | 810 Dominican Dr Ste 106, Nashville, TN 37228-1906 | 2018-06-18 |
1417463480 | Rewan Amedi | Chiropractor | 2601 Elm Hill Pike Ste I, Nashville, TN 37214-3155 | 2017-12-28 |
1205340197 | Cam LLC | Chiropractor | 2694 Fessey Ct., Nashville, TN 37204 | 2017-11-30 |
1346753837 | Action Spine & Joint, LLC. | Chiropractor | 6410 Charlotte Pike Ste 102, Nashville, TN 37209 | 2017-11-07 |
1851819932 | Spine and Strength The Wellness Clinic | Chiropractor | 718 Thompson Ln Ste 108-446, Nashville, TN 37204-3600 | 2017-09-08 |
1235677527 | Alae Rabiei | Chiropractor | 5710 Hickory Plz, Nashville, TN 37211-6796 | 2017-02-07 |
Find all providers in NASHVILLE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.