Active NPI
Tara C Paredes, D.C.
- Chiropractor
- Madison, WI
National Provider Identifier
1073861670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4783-012
- Practice address
- 1709 Monroe St
Madison, WI 53711-2022 - Phone
- (608) 509-8298
- NPI assigned
- Aug 29, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4783-012 | WI | Primary |
Addresses
Primary practice location
1709 Monroe St
Madison, WI 53711-2022
Mailing address
1709 Monroe St
Madison, WI 53711-2022
Phone (608) 509-8298
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4783-012 | WI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470268800000",
"number": "1073861670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1709 MONROE ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537112022",
"telephone_number": "608-509-8298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1709 MONROE ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537112022",
"telephone_number": "608-509-8298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAREDES",
"first_name": "TARA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-29",
"last_updated": "2016-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4783-012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.