SPINE CHIROPRACTIC, PLLC (NPI# 1831669704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831669704 |
| Entity Type | Organization |
| Organization Name | SPINE CHIROPRACTIC, PLLC |
| Practice Address |
6711 Mountain View Rd Ste 115 Ooltewah TN 37363-6667 |
| Practice Telephone | 4235417700 |
| Practice Fax Number | 4235417702 |
| Mailing Telephone | 4235417700 |
| Mailing Fax Number | 4235417702 |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2019-11-01 |
| Authorized Official Name | CHRISTOPHER M LEWIS (PRESIDENT) |
| Authorized Official Telephone | 7065813465 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
6711 MOUNTAIN VIEW RD STE 115 |
| City | OOLTEWAH |
| State | TN |
| Zip Code | 37363-6667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831416395 | Jay Alan Dedeker | Specialist/Technologist | 6711 Mountain View Rd Ste 115, Ooltewah, TN 37363-6667 | 2010-04-23 |
| 1164979977 | Juhyan Jang | Physical Therapist | 6711 Mountain View Rd Ste 115, Ooltewah, TN 37363-6667 | 2016-09-09 |
| 1467824532 | Joy Rucker Clements | Physical Therapist | 6711 Mountain View Rd Ste 115, Ooltewah, TN 37363-6667 | 2015-10-28 |
| 1780077016 | Alliance Pt Partners | Physical Therapist | 6711 Mountain View Rd Ste 115, Ooltewah, TN 37363-6667 | 2015-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487203196 | University Health Center | Clinic/Center | 4687 University Drive, Ooltewah, TN 37363 | 2019-09-05 |
| 1508426560 | Alexandra Scott | Dentist | 8985 Old Lee Hwy, Suite 103, Ooltewah, TN 37363 | 2019-06-20 |
| 1093286304 | Wright Pediatric Dentistry | Dentist | 8202 Apison Pike, Ooltewah, TN 37363 | 2018-12-13 |
| 1770052888 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 6085 Arbury Way, Ooltewah, TN 37363 | 2018-11-19 |
| 1679055008 | Rebecca Brown | Nurse Practitioner | 9801 Robinson Farm Rd, Ooltewah, TN 37363 | 2018-09-01 |
| 1750877833 | Amanda Kirkpatrick | Dietitian, Registered | 6103 Hunter Crest Drive, Ooltewah, TN 37363 | 2018-07-02 |
| 1447759493 | Abigale Daniels | Specialist/Technologist | 6154 Wardwell Drive, Ooltewah, TN 37363 | 2018-02-06 |
| 1538671748 | Ryan Volking | Physician Assistant | 7564 Passport Dr, Ooltewah, TN 37363 | 2017-10-27 |
| 1255882270 | Stella Tsui | Physical Therapy Assistant | 3818 Chanterwood Trl, Ooltewah, TN 37363 | 2016-10-14 |
| 1013392299 | Rhonda Wilson | Counselor | 5516 Barons Point, Ooltewah, TN 37363 | 2015-07-29 |
| Find all providers in zip 37363 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467084418 | Ooltewah Chiropractic and Rehab | Chiropractor | 8354 Front Gate Cir, Ooltewah, TN 37363-9506 | 2020-02-07 |
| 1124446174 | Brian Chinn | Chiropractor | 6011 Chesterton Way Ste 209, Ooltewah, TN 37363-1523 | 2014-04-06 |
| 1760723282 | Mellert Family Chiropractic Center Inc. | Chiropractor | 5706 Main St, Ooltewah, TN 37363-8713 | 2013-03-07 |
| 1568708261 | Gregory C Schrader | Chiropractor | 9457 David Smith Ln, Ooltewah, TN 37363-7292 | 2012-12-27 |
| 1396812046 | Don D Duff Dc Dba Collegedale Chiropractic Associates | Chiropractor | 5121 Ooltewah Ringgold Rd, Ooltewah, TN 37363 | 2006-11-29 |
| 1457457269 | Christopher Robert Chastain | Chiropractor | 9507a Ocoee St, Ooltewah, TN 37363-8772 | 2006-09-16 |
| 1730285024 | Donald R. Shelby Total Health Connection | Chiropractor | 9413 Apison Pike, Suite 108, Ooltewah, TN 37363-8661 | 2006-09-15 |
| 1417975657 | Robert M Elliott | Chiropractor | 5700 Watkins St, Ooltewah, TN 37363-7811 | 2006-07-17 |
| 1043240112 | Julie Lynn Steineckechristofferson | Chiropractor | 9222 Lee Hwy Ste F, Ooltewah, TN 37363-8872 | 2006-07-04 |
| 1063402626 | Eric Neil Olsen | Chiropractor | 6857 Mountain View Rd, Suite 105, Ooltewah, TN 37363-6561 | 2005-10-25 |
| Find all providers in OOLTEWAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.