Ted Stanley Showalter, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1534 Issued in TN

Practice address

2605 Jenkins Rd
Ste 2
Chattanooga, TN 37421-1177

Phone

(423) 855-5053

Fax

(423) 855-5856

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pinnacle Physical Medicine & Rehab

  • Chiropractor
  • Chattanooga, TN
  • NPI 1457498404
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329782400000",
    "number": "1093747206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 JENKINS RD",
            "address_2": "STE 2",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211177",
            "telephone_number": "423-855-5053",
            "fax_number": "423-855-5856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 JENKINS RD",
            "address_2": "STE 2",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211177",
            "telephone_number": "423-855-5053",
            "fax_number": "423-855-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOWALTER",
        "first_name": "TED",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2012-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "1534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4074012",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Shook, PT
• Naomi Ruth Shoop, BT
• Selena Anne Shope, BA
• Briana Shoulders, SPECIALIST
• Emily Shoup
• Shreeya Drugs Inc
• Anand N. Shridharani, MD
• Rita R. Shridharani, MD
• Angela Michelle Shrum, RN
• Garrett Drake Shrum

• 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 Feb 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.