Dr. James D. Tanner, D.C., P.a.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

CHIA-1260 Issued in ID

Legal business name

DR. JAMES D. TANNER, D.C., P.A.

Practice address

6070 E Sagewood Dr
Idaho Falls, ID 83406-5077

Phone

(208) 552-4646

NPI assigned

Nov 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James D. Tanner, D.C.

Title

Chiropractor

Phone

(208) 552-4646

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1275715559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6070 E SAGEWOOD DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834065077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 E SAGEWOOD DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834065077",
            "telephone_number": "208-552-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JAMES D. TANNER, D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "208-552-4646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "ID",
            "license": "CHIA-1260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Medical Specialty Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.