Coffman Chiropractic Life Centers, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC0000000744 Issued in TN

Legal business name

COFFMAN CHIROPRACTIC LIFE CENTERS, P.C.

Practice address

4289 Bonny Oaks Dr Ste 107
Chattanooga, TN 37406-1600

Phone

(423) 892-2717

Fax

(423) 892-9985

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nicole C Cole, D.C.

Title

Director

Phone

(423) 892-2717

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole A Coffman-Cole, DC

  • Chiropractor
  • Waverly, TN
  • NPI 1962980086
  NPD (past)
• Joseph Coffman, D.C.

  • Thermography Chiropractor
  • Chattanooga, TN
  • NPI 1720148885
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1346443553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4289 BONNY OAKS DR STE 107",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374061600",
            "telephone_number": "423-892-2717",
            "fax_number": "423-892-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4289 BONNY OAKS DR STE 107",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374061600",
            "telephone_number": "423-892-2717",
            "fax_number": "423-892-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COFFMAN CHIROPRACTIC LIFE CENTERS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "423-892-2717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000000744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3053339",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3676374",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph B Cofer, M.D.
• Megan Elizabeth Coffey, MSN APRN FNP-BC
• Michael Coffey
• Paula Sue Coffey, FNP
• Julia Barnhardt Coffin, MSW, LCSW
• Joseph Coffman, D.C.
• Sandra Coffman
• Ashley Cofield, LCSW
• Amy Coggin, FNP
• Glenda B Cogswell, P.T.

• Chiropractor in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.