Organization Active NPI

Active Care Chiropractic

  • Chiropractor
  • Chattanooga, TN
National Provider Identifier
1073719928
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1228 Issued in TN
Legal business name
ACTIVE CARE CHIROPRACTIC
Practice address
7003 Shallowford Rd
Suite 202
Chattanooga, TN 37421-6722
Phone
(423) 899-0309
Fax
(423) 899-0319
NPI assigned
Jun 26, 2007
Last updated
Jul 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Dr. Jennifer K Smith, D.C.NPI 1326061060
Title
Owner
Phone
(423) 899-0309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1228 TN Primary

Addresses

Primary practice location

7003 Shallowford Rd
Suite 202
Chattanooga, TN 37421-6722

Mailing address

7003 Shallowford Rd
Suite 202
Chattanooga, TN 37421-6722
Phone (423) 899-0309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060125000791 TN Part B Supplier - Clinic/Group Practice 2062436330 Receives reassigned benefits from 3 practitioners
Practice locations: Chattanooga, TN

National Provider Directory

National Provider Directory

Locations

2372 Lifestyle Way
Ste 174
Chattanooga, TN 37421
Phone (423) 899-0309

7003 Shallowford Rd
Ste 202
Chattanooga, TN 37421
Phone (423) 648-4818

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1073719928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 SHALLOWFORD RD",
            "address_2": "SUITE 202",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216722",
            "telephone_number": "423-899-0309",
            "fax_number": "423-899-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 SHALLOWFORD RD",
            "address_2": "SUITE 202",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216722",
            "telephone_number": "423-899-0309",
            "fax_number": "423-899-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE CARE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-899-0309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "1228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.