Healthsource of Shallowford

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

HEALTHSOURCE OF SHALLOWFORD

Practice address

6102 Shallowford Rd
Suite 103
Chattanooga, TN 37421-1684

Phone

(423) 475-6438

Fax

(423) 475-6407

NPI assigned

Mar 8, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jacob Julius Becker, DC

Title

Owner

Phone

(423) 475-6438

Specialties & licenses 1

Addresses

Other names 1

• True Wellness Chiropractic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1043584030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6102 SHALLOWFORD RD",
            "address_2": "SUITE 103",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211684",
            "telephone_number": "423-475-6438",
            "fax_number": "423-475-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6102 SHALLOWFORD RD",
            "address_2": "SUITE 103",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211684",
            "telephone_number": "423-475-6438",
            "fax_number": "423-475-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE OF SHALLOWFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "JULIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-475-6438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "True Wellness Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Robert Headrick Jr., MD
• Healing Hands Mobile Physician Group LLC
• Healing Hearts&Souls Homecare
• Healing Horizons Counseling, LLC
• Healthrite PLLC
• Amanda Healy
• Ken Healy
• Rikki Heard, PTA
• Hearing Services of Chattanooga, Inc.
• Callie Walraven Hearn, MD

• Chiropractor in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.