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DR. JOHN MICHAEL SELF JR. D.C.
NPI 1073722443
Chiropractor in Knoxville, TN

Active since May 22, 2007
115 GRESHAM RD, KNOXVILLE, TN 37918(865) 687-7600(865) 687-7766 Get Directions Write a Review

NPPES record last updated: June 11, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Michael Self Jr. D.c. NPPES

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

DR. JOHN MICHAEL SELF JR. D.C. (NPI 1073722443) is an individual chiropractor in Knoxville, Tennessee, licensed in Tennessee (0000001403) and active in the NPI registry since May 2007. He is a graduate of Logan College Of Chiropractic (1997).

NPPES Registry Identity

NPI1073722443
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JOHN MICHAEL SELF JR.Credential: D.C.
Location Address115 GRESHAM RDKnoxville, TN 37918-3209
Mailing Address115 Gresham RoadKnoxville, TN 37918-3209 · (865) 687-7600 · Fax (865) 687-7766
Phone(865) 687-7600
Fax(865) 687-7766
Sole ProprietorYes
Medical School CMSLogan College Of ChiropracticGraduated 1997
Enumeration DateMay 22, 2007
Last NPPES UpdateJune 11, 2012
✔ NPI 1073722443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TN · 0000001403
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.
115 GRESHAM RD, Knoxville, TN 37918
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Other Identifiers 1

Medicare UPINU79554TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Michael Self Jr. D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436045028
PECOS Enrollment IDI20071010000018

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
343 services41 patients

Other Providers at the Same Location NPPES 2

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

SELF HEALTH AND WELLNESS CENTER, LLC
Chiropractor
115 GRESHAM RD
KNOXVILLE, TN 37918
Knox County (865) 687-7600
CHRISTOPHER LAWRENCE DIXON NP
Nurse Practitioner (Family)
115 GRESHAM RD
KNOXVILLE, TN 37918
Knox County (207) 608-5570

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 John Self's NPI number?

The NPI number for John Self is 1073722443. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is John Self located?

John Self practices at 115 Gresham Rd, Knoxville, TN 37918. The listed phone number is (865) 687-7600.

What is John Self's specialty?

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

Is John Self enrolled in Medicare?

Yes. John Self is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Self was last updated on June 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.