Active NPI
Joseph Coffman, D.C.
- Thermography Chiropractor
- Chattanooga, TN
National Provider Identifier
1720148885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thermography Chiropractor
- License
- 1968
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CH 9455 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coffman Chiropractic Inc | Chiropractor | Current | Accepting new patients |
| Coffman Chiropractic Life Centers, P.C. | Chiropractor | Past | Accepting new patients |
| Bartell Chiropractic, PA | Chiropractor | Past | 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.
-
- Chiropractor
- Miami, FL
- NPI 1043594609
-
- Chiropractor
- Chattanooga, TN
- NPI 1346443553
-
- Chiropractor
- Deerfield Beach, FL
- NPI 1043350887
-
- Chiropractor
- Deerfield Beach, FL
- NPI 1740857382
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.