Active NPI
58 Family Chiropractic
- Chiropractor
- Chattanooga, TN
National Provider Identifier
1962500785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0000002010
- Legal business name
- 58 FAMILY CHIROPRACTIC
- Practice address
- 4421 Highway 58
Suite 2
Chattanooga, TN 37416-3012 - Phone
- (423) 490-1216
- Fax
- (423) 490-1416
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jason Jackson, D.C.
- Title
- Clinic Director
- Phone
- (423) 490-1216
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0000002010 | TN | Primary |
Addresses
Primary practice location
4421 Highway 58
Suite 2
Chattanooga, TN 37416-3012
Mailing address
4421 Highway 58
Suite 2
Chattanooga, TN 37416-3012
Phone (423) 490-1216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4117132 | Other | TN | TN BC/BS |
National Provider Directory
National Provider DirectoryLocations
4421 Highway 58
Ste 2
Chattanooga, TN 37416
Phone (423) 490-1216
Practitioners & affiliated clinicians
Practitioners 1
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": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962500785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4421 HIGHWAY 58",
"address_2": "SUITE 2",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374163012",
"telephone_number": "423-490-1216",
"fax_number": "423-490-1416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4421 HIGHWAY 58",
"address_2": "SUITE 2",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374163012",
"telephone_number": "423-490-1216",
"fax_number": "423-490-1416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "58 FAMILY CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "CLINIC DIRECTOR",
"authorized_official_telephone_number": "423-490-1216",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "TN",
"license": "0000002010",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TN BC/BS",
"identifier": "4117132",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.