Tristar Spine and Sport Chiropractic LLC
NPI 1629827159 · Chiropractor · Bristol, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tristar Spine and Sport Chiropractic LLC is a Chiropractor organization in Bristol, TN (NPI 1629827159).
Provider details
- NPI number
- 1629827159
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Thaddeus Keklak, Owner, Chiropractor(423) 360-7366
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-05-16
- Last updated
- 2025-09-18
- Certified
- 2025-09-18
Frequently asked questions
- What is Tristar Spine and Sport Chiropractic LLC's NPI number?
- Tristar Spine and Sport Chiropractic LLC's National Provider Identifier (NPI) is 1629827159, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tristar Spine and Sport Chiropractic LLC?
- Tristar Spine and Sport Chiropractic LLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Tristar Spine and Sport Chiropractic LLC located?
- Tristar Spine and Sport Chiropractic LLC's practice location on file with NPPES is 126 Mlk Jr Blvd Ste a, Bristol, TN 37620-4078.
- What is Tristar Spine and Sport Chiropractic LLC's phone number?
- The practice phone number listed in the NPPES registry for Tristar Spine and Sport Chiropractic LLC is (423) 764-2663.
- Does Tristar Spine and Sport Chiropractic LLC accept Medicare?
- Tristar Spine and Sport Chiropractic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tristar Spine and Sport Chiropractic LLC?
- The authorized official listed on Tristar Spine and Sport Chiropractic LLC's NPPES record is Thaddeus Keklak, Owner, Chiropractor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tristar Spine and Sport Chiropractic LLC's NPI active?
- Yes — Tristar Spine and Sport Chiropractic LLC's NPI (1629827159) is active in the NPPES registry as of the last update on 2025-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.