Individual provider Active NPI

Robert Allen Hacker, DC

  • Chiropractor
  • Oak Ridge, TN
National Provider Identifier
1407947575
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
00000283 Issued in TN
Practice address
40 New York Ave
Suite 100
Oak Ridge, TN 37830-6409
Phone
(865) 482-7246
Fax
(865) 482-9900
NPI assigned
Sep 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 00000283 TN Primary

Addresses

Primary practice location

40 New York Ave
Suite 100
Oak Ridge, TN 37830-6409

Mailing address

40 New York Ave
Suite 100
Oak Ridge, TN 37830-6409
Phone (865) 482-7246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070927000113 TN Practitioner - Chiropractic 2264527944 Reassigns benefits to 1 organization
Practice locations: Knoxville, TN

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoxville Family Chiropractic Wellness, PLLCGroup PAC ID 3870941453, 3 clinicians

Practice addresses (Care Compare)

212 S Peters Rd
Suite 101
Knoxville, TN 37923-5217
Phone (865) 214-1891

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00000283TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Family Chiropractic Wellness, PLLC Chiropractor CurrentSince Nov 14, 2023 Accepting new patients
Woodrow W Gwinn Jr Chiropractor Past Accepting new patients
Urgent Care Specialists LLC Past Accepting new patients

Locations

212 S Peters Rd
Ste 101
Knoxville, TN 37923
Phone (865) 214-1891

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407947575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 NEW YORK AVE",
            "address_2": "SUITE 100",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306409",
            "telephone_number": "865-482-7246",
            "fax_number": "865-482-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 NEW YORK AVE",
            "address_2": "SUITE 100",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306409",
            "telephone_number": "865-482-7246",
            "fax_number": "865-482-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKER",
        "first_name": "ROBERT",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "00000283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.