Organization Active NPI

Willing Family Chiropractic

  • Chiropractor
  • Chattanooga, TN
National Provider Identifier
1780001107
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0000001058 Issued in TN
Legal business name
WILLING FAMILY CHIROPRACTIC
Practice address
5959 Shallowford Rd
Suite 527
Chattanooga, TN 37421-2285
Phone
(423) 499-0102
Fax
(423) 499-9857
NPI assigned
Mar 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Authorized official

Name
Mr. Evan G Willing III, DCNPI 1861405458
Title
President
Phone
(423) 499-0102

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC0000001058 TN Primary

Addresses

Primary practice location

5959 Shallowford Rd
Suite 527
Chattanooga, TN 37421-2285

Mailing address

5959 Shallowford Rd
Suite 527
Chattanooga, TN 37421-2285
Phone (423) 499-0102

Other identifiers 1

IdentifierTypeStateIssuer
1861405458OtherNPI FOR EVAN G. WILLING III

National Provider Directory

National Provider Directory

Locations

5959 Shallowford Rd
Ste 527
Chattanooga, TN 37421
Phone (423) 499-0102

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1780001107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 SHALLOWFORD RD",
            "address_2": "SUITE 527",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212285",
            "telephone_number": "423-499-0102",
            "fax_number": "423-499-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 SHALLOWFORD RD",
            "address_2": "SUITE 527",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212285",
            "telephone_number": "423-499-0102",
            "fax_number": "423-499-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLING FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "WILLING",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-499-0102",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000001058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR EVAN G. WILLING III",
            "identifier": "1861405458",
            "state": null
        }
    ],
    "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 Mar 24, 2014; 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.