Organization Active NPI

200 Chiro Christoffer, LLC

  • Chiropractor
  • Chattanooga, TN
National Provider Identifier
1841962081
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
200 CHIRO CHRISTOFFER, LLC
Practice address
1738 Dayton Blvd Ste 114
Chattanooga, TN 37405-2188
Phone
(719) 217-0895
NPI assigned
Oct 5, 2021
Last updated
Oct 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Courntey Sannes
Title
Owner
Phone
(404) 640-9195

Specialties & licenses 1

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

Addresses

Primary practice location

1738 Dayton Blvd Ste 114
Chattanooga, TN 37405-2188

Mailing address

1738 Dayton Blvd Ste 114
Chattanooga, TN 37405-2188

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220301000195 TN Part B Supplier - Clinic/Group Practice 1759775117 Receives reassigned benefits from 3 practitioners
Practice locations: Chattanooga, TN

National Provider Directory

National Provider Directory

Locations

1738 Dayton Blvd
Ste 114
Chattanooga, TN 37405
Phone (423) 800-0100

Practitioners & affiliated clinicians

Practitioners 4

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": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1841962081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 DAYTON BLVD STE 114",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374052188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 DAYTON BLVD STE 114",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374052188",
            "telephone_number": "719-217-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "200 CHIRO CHRISTOFFER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "SANNES",
        "authorized_official_first_name": "COURNTEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-640-9195"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 5, 2021; 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.