Active NPI
Shan Tian, D.C.
- Chiropractor
- Gadsden, AL
National Provider Identifier
1215014782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2090
- Practice address
- 2007 Rainbow Dr
Gadsden, AL 35901-5507 - Phone
- (256) 543-0009
- Fax
- (256) 549-1221
- NPI assigned
- Nov 1, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2090 | AL | Primary |
Addresses
Primary practice location
2007 Rainbow Dr
Gadsden, AL 35901-5507
Mailing address
340 Shannon Cir
Gadsden, AL 35904-3249
Phone (256) 543-3967
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515-21733 | Other | AL | BCBS PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2007 Rainbow Dr
Gadsden, AL 35901-5507
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2090 | AL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laboratory Doctors LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Gadsden, AL
- NPI 1962694968
-
- Clinical Medical Laboratory
- Gadsden, AL
- NPI 1346485414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215014782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 SHANNON CIR",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359043249",
"telephone_number": "256-543-3967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 RAINBOW DR",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359015507",
"telephone_number": "256-543-0009",
"fax_number": "256-549-1221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIAN",
"first_name": "SHAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "2090",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PIN",
"identifier": "515-21733",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gadsden, AL
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.