Individual provider Active NPI

Joseph Coffman, D.C.

  • Thermography Chiropractor
  • Chattanooga, TN
National Provider Identifier
1720148885
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thermography ChiropractorTaxonomy code 111NT0100X
License
1968 Issued in TN
Practice address
4303 Highway 58
Chattanooga, TN 37416-2948
Phone
(423) 892-2717
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thermography Chiropractor 111NT0100X 1968 TN Primary
Chiropractor 111N00000X CH 9455 FL

Addresses

Primary practice location

4303 Highway 58
Chattanooga, TN 37416-2948

Mailing address

57 W Hillsboro Blvd
Deerfield Beach, FL 33441-3429
Phone (954) 426-3200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200608002594 FL Practitioner - Chiropractic 7911008172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7110 SW 40TH St
Miami, FL 33155-3760
Phone (305) 661-4775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 9455FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Coffman Chiropractic Inc Chiropractor CurrentSince May 27, 2020 Accepting new patients
Coffman Chiropractic Life Centers, P.C. Chiropractor PastSince Aug 1, 2018 Accepting new patients
Bartell Chiropractic, PA Chiropractor PastSince Jun 15, 2021 Accepting new patients
Bartell Chiropractic Life Center Chiropractor Past Accepting new patients

Locations

7110 SW 40th St
Miami, FL 33155
Phone (305) 661-4775

Organizations & group practices 4

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1720148885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 W HILLSBORO BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334413429",
            "telephone_number": "954-426-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 HIGHWAY 58",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374162948",
            "telephone_number": "423-892-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NT0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Thermography",
            "state": "TN",
            "license": "1968",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 9455",
            "primary": false
        }
    ],
    "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 20, 2008; 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.