Individual provider Active NPI

Tanner Ardell Kleppe, DC

  • Chiropractor
  • Rice Lake, WI
National Provider Identifier
1003557232
Registry record updated Apr 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5745-12 Issued in WI
Practice address
1207 W Knapp St
Rice Lake, WI 54868-1307
Phone
(715) 475-1700
NPI assigned
Apr 3, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5745-12 WI Primary

Addresses

Primary practice location

1207 W Knapp St
Rice Lake, WI 54868-1307

Mailing address

1207 W Knapp St
Rice Lake, WI 54868-1307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5745-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Hills Chiropractic LLC Chiropractor CurrentSince Sep 3, 2024 Accepting new patients

Locations

1207 W Knapp St
Rice Lake, WI 54868
Phone (515) 298-3178

Networks

  • IL PPO Downstate
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
  • IL HMO C-SNP

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648944000000",
    "number": "1003557232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 W KNAPP ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 W KNAPP ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681307",
            "telephone_number": "715-475-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEPPE",
        "first_name": "TANNER",
        "middle_name": "ARDELL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-03",
        "last_updated": "2022-04-03",
        "certification_date": "2022-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5745-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rice Lake, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.