Organization Active NPI

Tatum Chiropractic and Wellness, PC

  • Chiropractor
  • Cave Creek, AZ
National Provider Identifier
1104023787
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TATUM CHIROPRACTIC AND WELLNESS, PC
Practice address
29834 N Cave Creek Rd Ste 110
Cave Creek, AZ 85331-2384
Phone
(480) 513-8900
NPI assigned
Jun 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Authorized official

Name
Dr. Tim Lind, DCNPI 1023142759
Title
President
Phone
(480) 513-8900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

29834 N Cave Creek Rd Ste 110
Cave Creek, AZ 85331-2384

Mailing address

29834 N Cave Creek Rd Ste 110
Cave Creek, AZ 85331-2384
Phone (480) 513-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190702000783 AZ Part B Supplier - Clinic/Group Practice 7315271988 Receives reassigned benefits from 1 practitioner
Practice locations: Cave Creek, AZ

National Provider Directory

National Provider Directory

Locations

1230 NE 3rd St
Ste A102
Bend, OR 97701
Phone (541) 389-3072

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1104023787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29834 N CAVE CREEK RD STE 110",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853312384",
            "telephone_number": "480-513-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29834 N CAVE CREEK RD STE 110",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853312384",
            "telephone_number": "480-513-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATUM CHIROPRACTIC AND WELLNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "LIND",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-513-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.