JOHN REDUS D.C.
NPI 1497753982
Chiropractor in Jacksboro, TN

Active since July 08, 2005
302 MAIN ST, JACKSBORO, TN 37757(423) 566-4215(423) 566-5155 Get Directions Write a Review

NPPES record last updated: June 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Redus D.c. NPPES

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

JOHN REDUS D.C. (NPI 1497753982) is an individual chiropractor in Jacksboro, Tennessee, licensed in Tennessee (DC000740) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1497753982
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJOHN REDUSCredential: D.C.
Location Address302 MAIN STJacksboro, TN 37757-2935
Mailing Address302 Main StJacksboro, TN 37757-2935 · (423) 566-4215 · Fax (423) 566-5155
Fax(423) 566-5155
Sole ProprietorNo
Enumeration DateJuly 8, 2005
Last NPPES UpdateJune 12, 2012
NPI 1497753982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in TN · DC000740
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.
302 MAIN ST, Jacksboro, TN 37757

Other Names 1

Professional Name (2)Cleve Redus D.c.

Other Identifiers 10

Other621871597 00TN · Cra Managed Care
Other621871597TN · Federal Employer Id Numbe
Medicare PIN3675808TN
Other166746400TN · Ohio Worker Comp
Medicare UPINU16355TN
Medicaid3675808TN
Other100026514TN · Php Tenncare
Other350054860TN · Rr Medicare
Other12786TN · Cariten Preferred
Other4026838TN · Blue Cross/tennessee

Other Providers at the Same Location NPPES

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

Clinic/Center (Health Service)
302 MAIN ST
JACKSBORO, TN 37757

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 Redus's NPI number?

The NPI number for John Redus is 1497753982. It was assigned to this individual provider in the NPPES registry on July 8, 2005. The provider is also known as Cleve Redus D.C..

Where is John Redus located?

John Redus practices at 302 Main St, Jacksboro, TN 37757. The listed phone number is (423) 566-4215.

What is John Redus'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 John Redus was last updated on June 12, 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.