Individual provider Active NPI

Michael Alan Wolff Jr., D.C.

  • Chiropractor
  • Hixson, TN
National Provider Identifier
1265763403
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
39 Issued in TN
Practice address
6401 Hixson Pike, Suite D
Hixson, TN 37343
Phone
(423) 842-2435
Fax
(423) 842-2444
NPI assigned
Jan 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 39 TN Primary

Addresses

Primary practice location

6401 Hixson Pike, Suite D
Hixson, TN 37343

Mailing address

6401 Hixson Pike, Suite D
Hixson, TN 37343
Phone (423) 842-2435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110415000231 TN Practitioner - Chiropractic 3375727324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wolff Chiropractic CenterGroup PAC ID 1759574197, 3 clinicians

Practice addresses (Care Compare)

6401 Hixson Pike
D
Hixson, TN 37343-5725

6401 Hixson Pike D
Hixson, TN 37343-5725
Phone (423) 842-2435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wolff Chiropractic Center Chiropractor CurrentSince Feb 1, 2011 Accepting new patients

Locations

6401 Hixson Pike
#D
Hixson, TN 37343
Phone (423) 842-2435

6401 Hixson Pike
Hixson, TN 37343

6401 Hixson Pike
Ste D
Hixson, TN 37343
Phone (423) 842-2435

Organizations & group practices 1

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": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1265763403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 HIXSON PIKE, SUITE D",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "37343",
            "telephone_number": "423-842-2435",
            "fax_number": "423-842-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 HIXSON PIKE, SUITE D",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "37343",
            "telephone_number": "423-842-2435",
            "fax_number": "423-842-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFF",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "39",
            "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 28, 2010; 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.