{
"Npi": {
"NPI": "1871404269",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TN OCC MED EXPRESS INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2628 LAUREL CREEK DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SIGNAL MOUNTAIN",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "37377-1360",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "423-402-0176",
"MailingAddressFaxNumber": "901-284-0160",
"FirstLinePracticeLocationAddress": "4810 HIXSON PIKE STE 110",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HIXSON",
"PracticeLocationAddressStateName": "TN",
"PracticeLocationAddressPostalCode": "37343-5290",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "423-402-0176",
"PracticeLocationAddressFaxNumber": "901-284-0160",
"EnumerationDate": "09/15/2026",
"LastUpdateDate": "09/15/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CAMINEZ",
"AuthorizedOfficialFirstName": "BRETT",
"AuthorizedOfficialMiddleName": "AARON",
"AuthorizedOfficialTitle": "CHIROPRACTIC PHYSICIAN",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DC",
"AuthorizedOfficialTelephoneNumber": "423-402-0176",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}