Active NPI
Diane Tanning, L.AC., MS
- Acupuncturist
- Minnetonka, MN
National Provider Identifier
1124328372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1323
- Practice address
- 10505 Wayzata Blvd
Suite 200
Minnetonka, MN 55305-1502 - Phone
- (763) 546-5797
- Fax
- (763) 546-5754
- NPI assigned
- Oct 21, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1323 | MN | Primary |
Addresses
Primary practice location
10505 Wayzata Blvd
Suite 200
Minnetonka, MN 55305-1502
Mailing address
10505 Wayzata Blvd.,
Suite 200
Minnetonka, MN 55305-1506
Phone (763) 546-5797
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1323 | MN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431907200000",
"number": "1124328372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10505 WAYZATA BLVD.,",
"address_2": "SUITE 200",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051506",
"telephone_number": "763-546-5797",
"fax_number": "763-546-5754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10505 WAYZATA BLVD",
"address_2": "SUITE 200",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051502",
"telephone_number": "763-546-5797",
"fax_number": "763-546-5754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNING",
"first_name": "DIANE",
"credential": "L.AC., MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-21",
"last_updated": "2015-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "1323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.