Individual provider Active NPI

Brett Lee Wheatcroft, D.C.

  • Chiropractor
  • Chattanooga, TN
National Provider Identifier
1801928353
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2070 Issued in TN
Practice address
6245 Vance Rd
Suite B
Chattanooga, TN 37421-0307
Phone
(423) 553-8589
Fax
(423) 553-8590
NPI assigned
Mar 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2070 TN Primary

Addresses

Primary practice location

6245 Vance Rd
Suite B
Chattanooga, TN 37421-0307

Mailing address

6245 Vance Rd
Suite B
Chattanooga, TN 37421-0307
Phone (423) 553-8589

Other identifiers 1

IdentifierTypeStateIssuer
4113706OtherTNBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051004000820 TN Practitioner - Chiropractic 5294760633 Practice locations: Chattanooga, TN

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6209 Lee Hwy
Suite 103
Chattanooga, TN 37421-6516
Phone (423) 553-8589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1801928353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 VANCE RD",
            "address_2": "SUITE B",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374210307",
            "telephone_number": "423-553-8589",
            "fax_number": "423-553-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 VANCE RD",
            "address_2": "SUITE B",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374210307",
            "telephone_number": "423-553-8589",
            "fax_number": "423-553-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEATCROFT",
        "first_name": "BRETT",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-11",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4113706",
            "state": "TN"
        }
    ],
    "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 23, 2014; 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.