Mountain Creek Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1401 Issued in TN

Legal business name

MOUNTAIN CREEK CHIROPRACTIC LLC

Practice address

707 Signal Mountain Rd
Chattanooga, TN 37405-1823

Phone

(423) 266-0900

Fax

(423) 266-0902

NPI assigned

Nov 4, 2016

Organization subpart

No

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

Addresses

Other identifiers 2

Other names 1

• Chris Family Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Davy Addison, D.C.

  • Chiropractor
  • Murfreesboro, TN
  • NPI 1518247444
  Medicare reassignment NPD
• Christopher Eric Cyrul, D.C.

  • Chiropractor
  • Chattanooga, TN
  • NPI 1316992324
  NPD (past)
• Jennifer Lieder, DC

  • Chiropractor
  • Chattanooga, TN
  • NPI 1518236926
  NPD (past)

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1518247444",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316992324",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chris Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dan Douglas Moulds, D.M.D.
• Kaley Nicole Mounce, NP
• Kevin Gene Mounce, PA
• Steven Anthony Moundzouris Jr., PHARM D
• Melinda Kay Mount, COTA/L
• Mountain Management Services
• Elizabeth Mountz
• Movewell Health LLC
• Sara R Mowery, NP
• Karen Marie Moyer, M.D.

• Chiropractor in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Chiropractor in Tennessee

• 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.