Chattanooga Spine and Body, Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MD0000042493 Issued in TN

Legal business name

CHATTANOOGA SPINE AND BODY, INC

Practice address

5617 Highway 153
Suite 103
Hixson, TN 37343-4675

Phone

(423) 485-3226

NPI assigned

Feb 13, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Homero Rivas II, M.D.NPI 1932399300

Title

Owner/Physician

Phone

(423) 485-3226

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Homero Rivas II, MD

  • Physical Medicine & Rehabilitation Physician
  • Hixson, TN
  • NPI 1932399300
  NPD (past) Authorized official

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1740671668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5617 HIGHWAY 153",
            "address_2": "SUITE 103",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434675",
            "telephone_number": "423-485-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5617 HIGHWAY 153",
            "address_2": "SUITE 103",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434675",
            "telephone_number": "423-485-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTANOOGA SPINE AND BODY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "RIVAS",
        "authorized_official_first_name": "HOMERO",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "423-485-3226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TN",
            "license": "MD0000042493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chattanooga General & Bariatric Surgery Inc
• Chattanooga Movement Center, LLC (Headspace Physio)
• Chattanooga Orthopaedic Group, PC (Center for Sports Medicine and Orthopaedics)
• Chattanooga Pain Management Center LLC (Chattanooga Pain Surgery Center)
• Chattanooga SH Operations LLC (Regency House)
• Chew Chew Dentistry
• Christopher Choe, MD
• Christopher Segler (Ankle & Foot Center of Chattanooga)
• Circle of Life Family Medicine, PLLC
• Clayton B Rhodes (Hixson EyeCare)

• Medical Specialty Clinic/Center in Hixson, TN
• Providers in Hixson, TN by specialty
• Medical Specialty Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.