Provider Demographics
NPI:1366447674
Name:THOMPSON, TOD D (DC)
Entity Type:Individual
Prefix:DR
First Name:TOD
Middle Name:D
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 NORTHCREEK BLVD
Mailing Address - Street 2:STE 300
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-1935
Mailing Address - Country:US
Mailing Address - Phone:615-851-0515
Mailing Address - Fax:615-851-0537
Practice Address - Street 1:318 NORTHCREEK BLVD
Practice Address - Street 2:STE 300
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-1935
Practice Address - Country:US
Practice Address - Phone:615-851-0515
Practice Address - Fax:615-851-0537
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC469111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN68403OtherBLUE CROSS PROVIDER ID
TN3673827Medicare ID - Type UnspecifiedMEDICARE ID
TNT05833Medicare UPIN