Individual provider Active NPI

Meggan M Tank, D.C.

  • Chiropractor
  • Tomah, WI
National Provider Identifier
1114256088
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4560-012 Issued in WI
Practice address
1100 Kilbourn Ave
Tomah, WI 54660-2630
Phone
(608) 372-2747
Fax
(608) 372-3100
NPI assigned
Dec 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4560-012 WI Primary

Addresses

Primary practice location

1100 Kilbourn Ave
Tomah, WI 54660-2630

Mailing address

1100 Kilbourn Ave
Tomah, WI 54660-2630
Phone (608) 372-2747

Other names 1

  • Meggan M Captain Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110121000597 WI Practitioner - Chiropractic 8729267869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tank Family Chiropractic Inc.Group PAC ID 4486880564, 2 clinicians

Practice addresses (Care Compare)

1100 Kilbourn Ave
Tomah, WI 54660-2630
Phone (608) 372-2747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4560-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tank Family Chiropractic Inc. Chiropractor CurrentSince Jul 1, 2013 Accepting new patients
Strong Chiropractic Office SC Chiropractor PastSince Jun 15, 2001 Accepting new patients
Howard Chiropractic Clinic, S.C. PastSince Oct 1, 1998 Accepting new patients

Locations

1100 Kilbourn Ave
Tomah, WI 54660
Phone (608) 343-5025

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1114256088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 KILBOURN AVE",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546602630",
            "telephone_number": "608-372-2747",
            "fax_number": "608-372-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 KILBOURN AVE",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546602630",
            "telephone_number": "608-372-2747",
            "fax_number": "608-372-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANK",
        "first_name": "MEGGAN",
        "middle_name": "M",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-23",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4560-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGGAN",
            "last_name": "CAPTAIN",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tomah, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.

Verify at the official NPI Registry.