DR. BRENT ALAN JOHNS (NPI# 1790861110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790861110 |
| Entity Type | Individual |
| Full Name | DR. BRENT ALAN JOHNS |
| Credential | DC |
| Practice Address |
325 West Broadway Maryville TN 37801-4707 |
| Practice Telephone | 8659821768 |
| Practice Fax Number | 8659833519 |
| Mailing Telephone | 8659821768 |
| Mailing Fax Number | 8659833519 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 660 | TN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3675063 | 05 |
| Street Address |
325 WEST BROADWAY |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37801-4707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912536582 | Andrea Waldrop | Pharmacist | 103 Foothills Mall Drive, Maryville, TN 37801 | 2020-04-06 |
| 1134664147 | Complete Vision Care Pllc | Optometrist | 2410 Us Hwy 411 S, Maryville, TN 37801 | 2016-12-29 |
| 1144634114 | James Muscari | Dentist | 824 W. Lamar Alexander Pkwy, Maryville, TN 37801 | 2014-06-17 |
| 1245465483 | Respiratory Home Care of Bristol, LLC | Durable Medical Equipment & Medical Supplies | 637 Morganton Square Dr, Maryville, TN 37801 | 2009-05-18 |
| 1063682383 | William R Pedersen | Optometrist | 730 West Lamar Alexander Pkwy, Maryville, TN 37801 | 2008-03-03 |
| 1124218573 | Liberty Assisted Living LLC | Assisted Living Facility | 312 Mcmaster Pl, Liberty Assisted Living LLC, Maryville, TN 37801 | 2007-07-31 |
| 1447467493 | Amanda G Clement | Nurse Practitioner | 1427 William Blount Drive, Maryville, TN 37801 | 2007-05-17 |
| 1396873758 | David T Cope | Audiologist | 821 Ross Drive, Maryville, TN 37801 | 2007-02-28 |
| 1649345406 | Adult & Family Dentistry, Inc. | Dentist | 1740 Big Springs Rd, Maryville, TN 37801 | 2006-11-21 |
| 1225109523 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 330 Southdowne Dr, Maryville, TN 37801 | 2006-11-10 |
| Find all providers in zip 37801 | ||||
| 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 |
|---|---|---|---|---|
| 1649799966 | Carolyn Rose Filla | Chiropractor | 1780 W Lamar Alexander Pkwy, Maryville, TN 37801-3784 | 2017-09-19 |
| 1104348085 | Lindsey Nicole Langendorf | Chiropractor | 62 Executive Plaza Ct, Maryville, IL 62062 | 2017-07-12 |
| 1457684219 | Bryan W Reid | Chiropractor | 2805 N Center St, Maryville, IL 62062-5622 | 2009-09-11 |
| 1154569150 | Catherine R Flynn | Chiropractor | 802 Mountain View Ave, Maryville, TN 37803-4822 | 2009-01-29 |
| 1659563542 | Walsh Chiropractic Ltd | Chiropractor | 2800 N Center, Maryville, IL 62062 | 2007-08-14 |
| 1053523811 | Steven R Watts | Chiropractor | 1011 W Broadway Ave, Maryville, TN 37801-4638 | 2007-05-04 |
| 1558586727 | Olav E. Lipiec | Chiropractor | 26044 Lakeview Dr, Maryville, MO 64468-7263 | 2007-04-14 |
| 1801931142 | Evan William Butcher | Chiropractor | 2724 E Broadway Ave, Maryville, TN 37804-2557 | 2007-02-21 |
| 1407991771 | Southern Illinois Chiropractic Center | Chiropractor | 2 Professional Park Drive, Suite B, Maryville, IL 62062-5746 | 2007-02-21 |
| 1801943113 | Bryan R Ardis | Chiropractor | 1103 E Lamar Alexander Pkwy, Maryville, TN 37804-5130 | 2007-01-05 |
| Find all providers in MARYVILLE | ||||
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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.