Active NPI
Christopher Scott Mansolf, DC
- Chiropractor
- Chattanooga, TN
National Provider Identifier
1134409386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0000002900
- Practice address
- 3742 Tennessee Ave Ste 104
Chattanooga, TN 37409-1222 - Phone
- (423) 602-5656
- Fax
- (423) 602-5678
- NPI assigned
- Aug 19, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5297 | KY | |
| Chiropractor | 111N00000X | CHR 0007040 | CO | |
| Chiropractor | 111N00000X | CHIR009783 | GA | |
| Chiropractor | 111N00000X | 0000002900 | TN | Primary |
Addresses
Primary practice location
3742 Tennessee Ave Ste 104
Chattanooga, TN 37409-1222
Mailing address
3742 Tennessee Ave Ste 104
Chattanooga, TN 37409-1222
Phone (423) 602-5656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170626001217 | TN | Practitioner - Chiropractic | 0749451805 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2900 | TN | MD | Clinical Psychologist |
| CHR 0007040 | CO | MD | Chiropractor |
| CHIR009783 | GA | MD | Chiropractor |
| 0000002900 | TN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthsource Arvada PC | Chiropractor | Past | Accepting new patients |
| Glenn Optical, PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Wheat Ridge, CO
- NPI 1184987984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508803200000",
"number": "1134409386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3742 TENNESSEE AVE STE 104",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374091222",
"telephone_number": "423-602-5656",
"fax_number": "423-602-5678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3742 TENNESSEE AVE STE 104",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374091222",
"telephone_number": "423-602-5656",
"fax_number": "423-602-5678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSOLF",
"first_name": "CHRISTOPHER",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-19",
"last_updated": "2017-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "5297",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "CHR 0007040",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR009783",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "0000002900",
"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 Oct 24, 2017; 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.