Individual provider Active NPI

Christopher Scott Mansolf, DC

  • Chiropractor
  • Chattanooga, TN
National Provider Identifier
1134409386
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0000002900 Issued in TN
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

Updated by the provider on Oct 24, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
I20170626001217 TN Practitioner - Chiropractic 0749451805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2900TNMDClinical Psychologist
CHR 0007040COMDChiropractor
CHIR009783GAMDChiropractor
0000002900TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthsource Arvada PC Chiropractor Past Accepting new patients
Glenn Optical, PLLC PastSince Aug 2, 2025 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.

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.

Verify at the official NPI Registry.