Kerry Dee Tarvin, D.C.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

1060LA Issued in LA

Practice address

3431 N Market St
Shreveport, LA 71107-3812

Phone

(318) 425-2225

Fax

(318) 425-2221

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Back Essentials, Inc.

  • Orthopedic Chiropractor
  • Colorado Springs, CO
  • NPI 1477861573
  NPD (past) Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154467942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3431 N MARKET ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711073812",
            "telephone_number": "318-425-2225",
            "fax_number": "318-425-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3431 N MARKET ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711073812",
            "telephone_number": "318-425-2225",
            "fax_number": "318-425-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARVIN",
        "first_name": "KERRY",
        "middle_name": "DEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "LA",
            "license": "1060LA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mihaly Benjamin Tapolyai, M.D.
• Mohammad Abeel Tariq, MD, MBBS
• Wajeeha Tariq
• Stacie Lerissa Tarpley, CIT
• Stephanie Dyan Tarver, LDN,RD
• Crystal Tasby
• Tate & Barnes Walk in Clinic, LLC
• Clifton Tate, RD
• Jamesetta Ward Tate, M.D.
• Timothy Nathaniel Tate, D.D.S

• Orthopedic Chiropractor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Orthopedic Chiropractor in Louisiana

• 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.

Verify at the official NPI Registry.