Provider Demographics
NPI:1124173125
Name:THARPE, JASON PRENTICE (DC)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:PRENTICE
Last Name:THARPE
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 1:100 COVEY DR
Mailing Address - Street 2:SUITE 302
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-5665
Mailing Address - Country:US
Mailing Address - Phone:615-794-7246
Mailing Address - Fax:615-790-2956
Practice Address - Street 1:100 COVEY DRIVE
Practice Address - Street 2:SUITE 302
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-3029
Practice Address - Country:US
Practice Address - Phone:615-794-7246
Practice Address - Fax:615-790-2956
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC1750111N00000X, 111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3971359Medicaid
TN9194330OtherPHCS
TN2322090OtherAETNA HMO
TN957054OtherFOCUS
TN4025774OtherBCBS OF TENNESSEE
TN616023OtherACN
TN27-2654351OtherTAX ID
TN7620027OtherAETNA PPO
TNU82690Medicare UPIN
TN616023OtherACN