Active NPI
Tanzar Chiropractic Wellcare Center
- Chiropractor
- Forest, VA
National Provider Identifier
1174669014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104001938
- Legal business name
- TANZAR CHIROPRACTIC WELLCARE CENTER
- Practice address
- 1088 Vista Park Dr
Suite C
Forest, VA 24551-2761 - Phone
- (434) 385-1110
- Fax
- (434) 385-1115
- NPI assigned
- Jan 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeff S Tanzar, D.C
- Title
- Owner
- Phone
- (434) 385-1110
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104001938 | VA | Primary |
Addresses
Primary practice location
1088 Vista Park Dr
Suite C
Forest, VA 24551-2761
Mailing address
1088 Vista Park Dr
Suite C
Forest, VA 24551-2761
Phone (434) 385-1110
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 287170 | Other | VA | ANTHEM BLUE CROSS BLUE SH |
| C09304 | Other | VA | MEDICARE GROUP PTAN |
| 00W170T01 | Other | VA | MEDICARE INDIVIDUAL PTAN |
National Provider Directory
National Provider DirectoryLocations
1088 Vista Park Dr
Ste C
Forest, VA 24551
Phone (434) 385-1110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1374537600000",
"number": "1174669014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1088 VISTA PARK DR",
"address_2": "SUITE C",
"city": "FOREST",
"state": "VA",
"postal_code": "245512761",
"telephone_number": "434-385-1110",
"fax_number": "434-385-1115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1088 VISTA PARK DR",
"address_2": "SUITE C",
"city": "FOREST",
"state": "VA",
"postal_code": "245512761",
"telephone_number": "434-385-1110",
"fax_number": "434-385-1115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TANZAR CHIROPRACTIC WELLCARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2013-07-23",
"status": "A",
"authorized_official_last_name": "TANZAR",
"authorized_official_first_name": "JEFF",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "434-385-1110",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "VA",
"license": "0104001938",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SH",
"identifier": "287170",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "C09304",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL PTAN",
"identifier": "00W170T01",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Forest, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.