Active NPI
Marco E. Castaneda, DC
- Rehabilitation Chiropractor
- Knoxville, TN
National Provider Identifier
1285792929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 2115
- Practice address
- 7786 Emory Chase LN
Knoxville, TN 37918-6147 - Phone
- (865) 454-0313
- NPI assigned
- Dec 5, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 2115 | TN | |
| Thermography Chiropractor | 111NT0100X | 2115 | TN | |
| Rehabilitation Chiropractor | 111NR0400X | 2115 | TN | Primary |
Addresses
Primary practice location
7786 Emory Chase LN
Knoxville, TN 37918-6147
Mailing address
7786 Emory Chase LN
Knoxville, TN 37918-6147
Phone (865) 454-0313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2115 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountian Chiropractic. PC | Past | Accepting new patients |
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.
-
- Chiropractor
- Knoxville, TN
- NPI 1376686758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250899200000",
"number": "1285792929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7786 EMORY CHASE LN",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379186147",
"telephone_number": "865-454-0313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7786 EMORY CHASE LN",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379186147",
"telephone_number": "865-454-0313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTANEDA",
"first_name": "MARCO",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2009-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "TN",
"license": "2115",
"primary": false
},
{
"code": "111NT0100X",
"taxonomy_group": "",
"desc": "Chiropractor, Thermography",
"state": "TN",
"license": "2115",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "TN",
"license": "2115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.