DR. RANDY D. MODGLIN D.C. NPI 1932258191

NPI Information

NPI: 1932258191
Provider Name: DR. RANDY D. MODGLIN, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
306 SUNSET DR
STE 100
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 926-8304
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DR. Randy D. Modglin, D.C. is a chiropractor in Johnson City, TN with 28 years of experience. The provider is 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. DR. Randy D. Modglin, D.C. NPI is 1932258191. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

306 SUNSET DR
STE 100
JOHNSON CITY, TN
ZIP 37604-492
Phone: (423) 926-8304
Fax: (423) 926-5976

The enumeration date for this NPI number is 1/9/2007 and was last updated on 8/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		DC0000001352	TENNESSEE	Yes
2	111N00000X	Chiropractor		1352	TENNESSEE	No
3	111NN0400X	Chiropractor	Neurology	DC0000001352	TENNESSEE	No
4	111NN1001X	Chiropractor	Nutrition	DC0000001352	TENNESSEE	No
5	111NR0200X	Chiropractor	Radiology	DC0000001352	TENNESSEE	No
6	111NS0005X	Chiropractor	Sports Physician	DC0000001352T	TENNESSEE	No
7	111NX0800X	Chiropractor	Orthopedic	DC0000001352	TENNESSEE	No
8	111NR0400X	Chiropractor	Rehabilitation	DC0000001352	TENNESSEE	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	350052904	OTHER		RAILROAD MEDICARE
2	3074458	OTHER	TENNESSEE	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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