Active NPI
Joel D Vranna, DC
- Chiropractor
- Tacoma, WA
National Provider Identifier
1083649453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00001930
- Practice address
- 1702 S 72ND St
Suite a
Tacoma, WA 98408-1238 - Phone
- (253) 474-0677
- Fax
- (253) 474-3540
- NPI assigned
- Jul 12, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | CH00001930 | WA | Primary |
Addresses
Primary practice location
1702 S 72ND St
Suite a
Tacoma, WA 98408-1238
Mailing address
1702 S 72ND St
Suite a
Tacoma, WA 98408-1238
Phone (253) 474-0677
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32025 | Other | WA | STATE LABOR & INDUSTRIES |
| VR3939 | Other | WA | REGENCE |
| 35055491 | Other | WA | RAILROAD MEDICARE |
| 8650202 | Medicaid | WA |
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
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Tacoma, WA
- NPI 1578595179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083649453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1702 S 72ND ST",
"address_2": "SUITE A",
"city": "TACOMA",
"state": "WA",
"postal_code": "984081238",
"telephone_number": "253-474-0677",
"fax_number": "253-474-3540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1702 S 72ND ST",
"address_2": "SUITE A",
"city": "TACOMA",
"state": "WA",
"postal_code": "984081238",
"telephone_number": "253-474-0677",
"fax_number": "253-474-3540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VRANNA",
"first_name": "JOEL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00001930",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LABOR & INDUSTRIES",
"identifier": "32025",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "VR3939",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "35055491",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8650202",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.