Active NPI
Univita of Tennessee, Inc.
- Durable Medical Equipment & Medical Supplies
- Chattanooga, TN
National Provider Identifier
1972771707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0000000510
- Legal business name
- UNIVITA OF TENNESSEE, INC.
- Practice address
- 2900 Dodds Ave
Chattanooga, TN 37407-1628 - Phone
- (423) 757-9400
- Fax
- (723) 757-9445
- NPI assigned
- Feb 14, 2008
- 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
- Mr. Jeff Sjobeck
- Title
- Vice President
- Phone
- (952) 516-6289
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0000000510 | TN | Primary |
| Customized Equipment (DME) | 332BC3200X | 0000000510 | TN |
Addresses
Primary practice location
2900 Dodds Ave
Chattanooga, TN 37407-1628
Mailing address
2900 Dodds Ave
Chattanooga, TN 37407-1628
Phone (423) 757-9400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1452401 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
2900 Dodds Ave
Chattanooga, TN 37407
Phone (423) 757-9400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Chattanooga, TN
- NPI 1174653356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355788800000",
"number": "1972771707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 DODDS AVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374071628",
"telephone_number": "423-757-9400",
"fax_number": "423-757-9445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 DODDS AVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374071628",
"telephone_number": "423-757-9400",
"fax_number": "723-757-9445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVITA OF TENNESSEE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-14",
"last_updated": "2012-12-18",
"status": "A",
"authorized_official_last_name": "SJOBECK",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "952-516-6289",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TN",
"license": "0000000510",
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "TN",
"license": "0000000510",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1452401",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
- University Oncology and Hematology Asso, PLLC
- University Pulmonary Assoc PLLC
- University Surgical Associates PC
- University Surgical Associates, LLC (USA Prosthetics)
- University Surgical Associates, PLLC
- Aparnaa Upadhyaya, DDS
- Emily Upchurch, D.O.
- Tiffany Upchurch
- Upgrade Therapy, PLLC (Kace Crawford Sole Member)
- Uplift Psychiatry, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.