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PRIDEMORE FAMILY CHIROPRACTIC PC
NPI 1063614683
Chiropractor in Johnson City, TN

Active since June 05, 2007
514 E WATAUGA AVE, JOHNSON CITY, TN 37601(423) 928-4101(423) 928-0994 Get Directions Write a Review

NPPES record last updated: August 29, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pridemore Family Chiropractic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIDEMORE FAMILY CHIROPRACTIC PC (NPI 1063614683) is a healthcare organization registered as a chiropractor in Johnson City, Tennessee and active in the NPI registry since June 2007. The organization lists Shawn R Pridemore, President, as its authorized official.

NPPES Registry Identity

NPI1063614683
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePRIDEMORE FAMILY CHIROPRACTIC PC
Location Address514 E WATAUGA AVEJohnson City, TN 37601-4039
Mailing Address514 E Watauga AveJohnson City, TN 37601-4039 · (423) 928-4101 · Fax (423) 928-0994
Phone(423) 928-4101
Fax(423) 928-0994
Organization SubpartNo
Authorized OfficialShawn R PridemorePresident · (423) 928-4101
Enumeration DateJune 5, 2007
Last NPPES UpdateAugust 29, 2007
✔ NPI 1063614683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TN · DC00000001297
Definition
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.
514 E WATAUGA AVE, Johnson City, TN 37601
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEW LIFE CHIROPRACTIC AND WELLNESS INC
Clinic/Center (Primary Care)
514 E WATAUGA AVE
JOHNSON CITY, TN 37601
Washington County (423) 928-4101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pridemore Family Chiropractic PC's NPI number?

The NPI number for Pridemore Family Chiropractic PC is 1063614683. It was assigned to this organization in the NPPES registry on June 5, 2007.

Where is Pridemore Family Chiropractic PC located?

Pridemore Family Chiropractic PC is located at 514 E Watauga Ave, Johnson City, TN 37601. The listed phone number is (423) 928-4101.

What is Pridemore Family Chiropractic PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Pridemore Family Chiropractic PC was last updated on August 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.