Organization Active NPI

Mountain Creek Chiropractic LLC

Doing business as Chris Family Chiropractic

  • Chiropractor
  • Chattanooga, TN
National Provider Identifier
1750833943
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1401 Issued in TN
Legal business name
MOUNTAIN CREEK CHIROPRACTIC LLC
Doing business as
Chris Family Chiropractic
Practice address
707 Signal Mountain Rd
Chattanooga, TN 37405-1823
Phone
(423) 266-0900
Fax
(423) 266-0902
NPI assigned
Nov 4, 2016
Last updated
Nov 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Authorized official

Name
Dr. Chris Cyrul, D.C.
Title
Chiropractor/President
Phone
(423) 266-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1401 TN Primary

Addresses

Primary practice location

707 Signal Mountain Rd
Chattanooga, TN 37405-1823

Mailing address

707 Signal Mountain Rd
Chattanooga, TN 37405-1823
Phone (423) 266-0900

Other names 1

  • Chris Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161114001374 TN Part B Supplier - Clinic/Group Practice 8820377955 Receives reassigned benefits from 1 practitioner
Practice locations: Chattanooga, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1750833943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 SIGNAL MOUNTAIN RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374051823",
            "telephone_number": "423-266-0900",
            "fax_number": "423-266-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 SIGNAL MOUNTAIN RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374051823",
            "telephone_number": "423-266-0900",
            "fax_number": "423-266-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN CREEK CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "CYRUL",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CHIROPRACTOR/PRESIDENT",
        "authorized_official_telephone_number": "423-266-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "1401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chris Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 8, 2016; 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.