Active NPI
Douglas Scott Tanner, D.C.
- Rehabilitation Chiropractor
- Phoenix, AZ
National Provider Identifier
1033273396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 3510
- Practice address
- 7840 N 31St Ave
103
Phoenix, AZ 85051-6687 - Phone
- (602) 433-9790
- Fax
- (602) 433-5254
- NPI assigned
- Dec 21, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 3510 | AZ | Primary |
Addresses
Primary practice location
7840 N 31St Ave
103
Phoenix, AZ 85051-6687
Mailing address
PO Box 38102
Phoenix, AZ 85069-8102
Phone (602) 433-9790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040614001622 | AZ | Practitioner - Chiropractic | 3274517651 | Practice locations: Phoenix, AZ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7840 N 31St Ave
Suite 103
Phoenix, AZ 85051-6693
Phone (602) 433-9790
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3510 | AZ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033273396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 38102",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850698102",
"telephone_number": "602-433-9790",
"fax_number": "602-433-5254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7840 N 31ST AVE",
"address_2": "103",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850516687",
"telephone_number": "602-433-9790",
"fax_number": "602-433-5254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNER",
"first_name": "DOUGLAS",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "AZ",
"license": "3510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.