Individual provider Active NPI

Robert Walter Haug, D.C.

  • Nutrition Chiropractor
  • Chattanooga, TN
National Provider Identifier
1770525651
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
DC0000001918 Issued in TN
Practice address
1466 Riverside Dr
Ste C
Chattanooga, TN 37406-4323
Phone
(423) 643-2211
Fax
(423) 643-2210
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X DC0000001918 TN Primary

Addresses

Primary practice location

1466 Riverside Dr
Ste C
Chattanooga, TN 37406-4323

Mailing address

1466 Riverside Dr
Ste C
Chattanooga, TN 37406-4323
Phone (423) 643-2211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040608000989 TN Practitioner - Chiropractic 5597748947 Practice locations: Chattanooga, TN

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1466 Riverside Dr
Chattanooga, TN 37406-4323

1466 Riverside Dr C
Chattanooga, TN 37406-4323
Phone (423) 643-2211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC0000001918TNMDNutrition Chiropractor
2852OHMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pickerington Chiropractic Center Past Accepting new patients
Chattanooga Family and Sports Medical Center, PLLC Nutrition PastSince Jan 4, 2017 Accepting new patients
Jeff Hall Inc Nutrition Past Accepting new patients

Organizations & group practices 3

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1770525651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1466 RIVERSIDE DR",
            "address_2": "STE C",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374064323",
            "telephone_number": "423-643-2211",
            "fax_number": "423-643-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1466 RIVERSIDE DR",
            "address_2": "STE C",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374064323",
            "telephone_number": "423-643-2211",
            "fax_number": "423-643-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUG",
        "first_name": "ROBERT",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "TN",
            "license": "DC0000001918",
            "primary": true
        }
    ],
    "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 Oct 2, 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.