Tanner Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5739 Issued in AZ

Legal business name

TANNER CHIROPRACTIC, PLLC

Practice address

33755 N. Scottsdale Rd #101
Scottsdale, AZ 85266-1567

Phone

(480) 595-6100

Fax

(480) 595-6102

NPI assigned

Jan 20, 2017

Last updated

Jan 23, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Glen J Tanner, DCNPI 1942362330

Title

Owner

Phone

(480) 595-6100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Glen J Tanner, D.C.

  • Rehabilitation Chiropractor
  • Scottsdale, AZ
  • NPI 1942362330
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1194262766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33755 N. SCOTTSDALE RD #101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852661567",
            "telephone_number": "480-595-6100",
            "fax_number": "480-595-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33755 N. SCOTTSDALE RD #101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852661567",
            "telephone_number": "480-595-6100",
            "fax_number": "480-595-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANNER CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-595-6100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PO Hong Tan, MBBS
• Poliana Chu Tan, MD
• Wen D Tan, PA-C
• Simeon H Tang, PHARM.D.
• Scott P Tannehill, MD
• Glen J Tanner, D.C.
• Jon M Tanner, D.C.
• Vanessa Elayne Tanner I, LCSW
• Nicole Tansy
• Tao Acupuncture Clinic

• Chiropractor in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.