MEMPHIS SPINE AND SPORT, PLLC
NPI 1104374412
Chiropractor in Cordova, TN

Active since September 15, 2016
1740 N GERMANTOWN PKWY, SUITE 6, CORDOVA, TN 38016(901) 752-4300(901) 244-7072 Get Directions Write a Review

NPPES record last updated: March 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2018, Sep 15, 2016 (2 updates tracked since 2016).

About Memphis Spine And Sport, Pllc NPPES

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

MEMPHIS SPINE AND SPORT, PLLC (NPI 1104374412) is a healthcare organization registered as a chiropractor in Cordova, Tennessee and active in the NPI registry since September 2016. The organization lists Charles Mazas Hogan, Owner, as its authorized official.

NPPES Registry Identity

NPI1104374412
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMEMPHIS SPINE AND SPORT, PLLC
Location Address1740 N GERMANTOWN PKWY, SUITE 6Cordova, TN 38016-3307
Mailing Address1740 N Germantown Pkwy, Suite 6Cordova, TN 38016-3307 · (901) 752-4300 · Fax (901) 244-7072
Fax(901) 244-7072
Organization SubpartNo
Authorized OfficialCharles Mazas HoganOwner · (901) 752-4300
Enumeration DateSeptember 15, 2016
Last NPPES UpdateMarch 30, 20182 updates tracked since enumeration
NPI 1104374412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in TN · 2912
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.
1740 N GERMANTOWN PKWY, Cordova, TN 38016

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 2

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

Chiropractor
1740 N GERMANTOWN PKWY, SUITE #6
CORDOVA, TN 38016
Chiropractor (Neurology)
1740 N GERMANTOWN PKWY, SUITE 6
CORDOVA, TN 38016

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 Memphis Spine And Sport, PLLC's NPI number?

The NPI number for Memphis Spine And Sport, PLLC is 1104374412. It was assigned to this organization in the NPPES registry on September 15, 2016.

Where is Memphis Spine And Sport, PLLC located?

Memphis Spine And Sport, PLLC is located at 1740 N Germantown Pkwy Suite 6, Cordova, TN 38016. The listed phone number is (901) 752-4300.

What is Memphis Spine And Sport, PLLC'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 Memphis Spine And Sport, PLLC was last updated on March 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.