Organization Active NPI

Hixson Spine Center of Chattanooga,Inc.

  • Chiropractor
  • Hixson, TN
National Provider Identifier
1124399159
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0000001552 Issued in TN
Legal business name
HIXSON SPINE CENTER OF CHATTANOOGA,INC.
Practice address
4513 Hixson Pike Ste 104
Hixson, TN 37343-5039
Phone
(423) 877-1558
Fax
(423) 877-1543
NPI assigned
Jan 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Authorized official

Name
Dr. Douglas Tomanelli, DC
Title
Owner
Phone
(423) 877-1558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC0000001552 TN Primary

Addresses

Primary practice location

4513 Hixson Pike Ste 104
Hixson, TN 37343-5039

Mailing address

4513 Hixson Pike Ste 104
Hixson, TN 37343-5039
Phone (423) 877-1558

National Provider Directory

National Provider Directory

Locations

4841 Hixson Pike
Ste D
Hixson, TN 37343
Phone (423) 875-2591

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1124399159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 HIXSON PIKE STE 104",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435039",
            "telephone_number": "423-877-1558",
            "fax_number": "423-877-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 HIXSON PIKE STE 104",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435039",
            "telephone_number": "423-877-1558",
            "fax_number": "423-877-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIXSON SPINE CENTER OF CHATTANOOGA,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "TOMANELLI",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-877-1558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000001552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.