Organization Active NPI

Tarry Chiropractic PLC

  • Chiropractor
  • Lansing, MI
National Provider Identifier
1164804399
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TARRY CHIROPRACTIC PLC
Practice address
6427 Centurion Dr
Lansing, MI 48917-8295
Phone
(517) 290-6272
NPI assigned
Jun 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Authorized official

Name
Timothy Edward Tarry, DCNPI 1871973461
Title
Chiropractor
Phone
(517) 290-6272

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Radiology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0200X
Occupational Health ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NX0100X

Addresses

Primary practice location

6427 Centurion Dr
Lansing, MI 48917-8295

Mailing address

6427 Centurion Dr
Lansing, MI 48917-8295
Phone (517) 290-6272

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150731015155 MI Part B Supplier - Clinic/Group Practice 5092029256 Receives reassigned benefits from 1 practitioner
Practice locations: Lansing, MI

National Provider Directory

National Provider Directory

Locations

6427 Centurion Dr
Ste 150A
Lansing, MI 48917
Phone (517) 230-7110

6427 Centurion Dr
Lansing, MI 48917
Phone (517) 290-6272

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": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1164804399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6427 CENTURION DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178295",
            "telephone_number": "517-290-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6427 CENTURION DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178295",
            "telephone_number": "517-290-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARRY CHIROPRACTIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "TARRY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "517-290-6272",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Occupational Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.