Organization Active NPI

Chattanooga Family Chiropractic, LLC

  • Chiropractor
  • Chattanooga, TN
National Provider Identifier
1699188383
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2766 Issued in TN
Legal business name
CHATTANOOGA FAMILY CHIROPRACTIC, LLC
Practice address
7446 Shallowford Rd Ste 204
Chattanooga, TN 37421-8815
Phone
(407) 733-3411
NPI assigned
Jun 10, 2014
Last updated
Jun 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Authorized official

Name
Rebecca Elaine Montilla, D.C.NPI 1164835864
Title
Chiropractor
Phone
(407) 733-3411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2766 TN Primary

Addresses

Primary practice location

7446 Shallowford Rd Ste 204
Chattanooga, TN 37421-8815

Mailing address

7446 Shallowford Rd Ste 204
Chattanooga, TN 37421-8815
Phone (407) 733-3411

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140723001949 TN Part B Supplier - Clinic/Group Practice 3476779620 Receives reassigned benefits from 1 practitioner
Practice locations: Chattanooga, TN

National Provider Directory

National Provider Directory

Locations

2515 Lifestyle Way
#105
Chattanooga, TN 37421
Phone (423) 362-5360

2515 Lifestyle Way
Ste 105
Chattanooga, TN 37421
Phone (423) 362-5360

7446 Shallowford Rd
Ste 20
Chattanooga, TN 37421
Phone (407) 733-3411

7446 Shallowford Rd
Ste 204
Chattanooga, TN 37421
Phone (407) 733-3411

Practitioners & affiliated clinicians

Practitioners 2

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": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1699188383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7446 SHALLOWFORD RD STE 204",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374218815",
            "telephone_number": "407-733-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7446 SHALLOWFORD RD STE 204",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374218815",
            "telephone_number": "407-733-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTANOOGA FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "MONTILLA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "407-733-3411",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.