Pamela W Tanner, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MO6005 Issued in MO

Practice address

2090 Elm Dr
Ste B
Arnold, MO 63010-4192

Phone

(636) 296-4000

Fax

(636) 282-8530

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1991

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wellness Chiropractic Center PC

  • Exclusive Provider Organization
  • Arnold, MO
  • NPI 1588941702
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1275628968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CHRISTINA PL",
            "city": "PEVELY",
            "state": "MO",
            "postal_code": "630701646",
            "telephone_number": "636-296-4000",
            "fax_number": "636-282-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 ELM DR",
            "address_2": "STE B",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630104192",
            "telephone_number": "636-296-4000",
            "fax_number": "636-282-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "PAMELA",
        "middle_name": "W",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "MO6005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra J Sutphin, LCSW
• Mandie Swart, COTA/L
• Benjamin Swedholm
• Taylor Swim, DDS
• Meghan Renee Taff, MPT
• Alyssa Danielle Tarquinio
• Elaina R Taylor, LPC
• Christina Colleen Teller
• The Valley at Woodlands LLC
• Victoria Kay Theiss, MS OTRL

• Chiropractor in Arnold, MO
• Providers in Arnold, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.