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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NPI Details

DR. Randy D. Modglin, D.C. is a chiropractor in Johnson City, TN with 29 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chiropractic manipulative treatment, 1-2 spinal regions (HCPCS:98940)

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
1111N00000XChiropractorDC0000001352TENNESSEEYes
2111N00000XChiropractor1352TENNESSEENo
3111NN0400XChiropractorNeurologyDC0000001352TENNESSEENo
4111NN1001XChiropractorNutritionDC0000001352TENNESSEENo
5111NR0200XChiropractorRadiologyDC0000001352TENNESSEENo
6111NS0005XChiropractorSports PhysicianDC0000001352TTENNESSEENo
7111NX0800XChiropractorOrthopedicDC0000001352TENNESSEENo
8111NR0400XChiropractorRehabilitationDC0000001352TENNESSEENo

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
1350052904OTHERRAILROAD MEDICARE
23074458OTHERTENNESSEEBLUE 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: 3/30/2025

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