Active NPI
Dana Alyson Tankell, DC
- Chiropractor
- San Diego, CA
National Provider Identifier
1265593768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC23127
- Practice address
- 7420 Clairmont Mesa Blvd
Suite 120
San Diego, CA 92111 - Phone
- (858) 514-8204
- Fax
- (858) 514-8207
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
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 | DC23127 | CA | Primary |
Addresses
Primary practice location
7420 Clairmont Mesa Blvd
Suite 120
San Diego, CA 92111
Mailing address
7420 Clairmont Mesa Blvd
Suite 120
San Diego, CA 92111
Phone (858) 514-8204
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC021270 | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040525001704 | CA | Practitioner - Chiropractic | 9537140652 | Practice locations: San Diego, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7420 Clairemont Mesa Blvd
Suite 120
San Diego, CA 92111-1546
Phone (858) 514-8204
Ste
120 7420 Clairemont Mesa BL
San Diego, CA 92111-1546
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC23127 | CA | MD | Chiropractor |
| 23127 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380844800000",
"number": "1265593768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7420 CLAIRMONT MESA BLVD",
"address_2": "SUITE 120",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92111",
"telephone_number": "858-514-8204",
"fax_number": "858-514-8207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7420 CLAIRMONT MESA BLVD",
"address_2": "SUITE 120",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92111",
"telephone_number": "858-514-8204",
"fax_number": "858-514-8207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANKELL",
"first_name": "DANA",
"middle_name": "ALYSON",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2013-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC23127",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "DC021270",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.