NPIMap

Organization Active NPI

New Paradigm PLLC

Doing business as Health Source of Chattanooga

  • Chiropractor
  • Chattanooga, TN
National Provider Identifier
1215189956
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0000002342 Issued in TN
Legal business name
NEW PARADIGM PLLC
Doing business as
Health Source of Chattanooga
Practice address
25 Cherokee Blvd
Suite C
Chattanooga, TN 37405-3838
Phone
(423) 475-6464
Fax
(423) 475-6458
NPI assigned
Oct 14, 2008
Last updated
Jul 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Authorized official

Name
Dr. Jacob J. Becker, D.C.
Title
Owner/Managing Member
Phone
(423) 475-6464

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0000002273 TN
Chiropractor 111N00000X DC0000002342 TN Primary

Addresses

Primary practice location

25 Cherokee Blvd
Suite C
Chattanooga, TN 37405-3838

Mailing address

25 Cherokee Blvd
Suite C
Chattanooga, TN 37405-3838
Phone (423) 475-6464

Other names 1

  • Health Source of Chattanooga Doing business as

National Provider Directory

National Provider Directory

Locations

25 Cherokee Blvd
Ste C
Chattanooga, TN 37405
Phone (423) 475-6464

Practitioners & affiliated clinicians

Practitioners 1

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": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1215189956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CHEROKEE BLVD",
            "address_2": "SUITE C",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374053838",
            "telephone_number": "423-475-6464",
            "fax_number": "423-475-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CHEROKEE BLVD",
            "address_2": "SUITE C",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374053838",
            "telephone_number": "423-475-6464",
            "fax_number": "423-475-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW PARADIGM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "423-475-6464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000002273",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000002342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Source of Chattanooga",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 21, 2011; 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.