Active NPI
David Emil Tannenbaum, D.C.
- Chiropractor
- Beverly Hills, CA
National Provider Identifier
1285763003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC20457
- Practice address
- 9150 Wilshire Blvd
Suite 250
Beverly Hills, CA 90212-3427 - Phone
- (310) 271-9968
- Fax
- (310) 271-9575
- NPI assigned
- Mar 5, 2007
- Sex
- Male
- 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 | DC20457 | CA | Primary |
Addresses
Primary practice location
9150 Wilshire Blvd
Suite 250
Beverly Hills, CA 90212-3427
Mailing address
9150 Wilshire Blvd
Ste 250
Beverly Hills, CA 90212-3429
Phone (310) 271-9968
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160226001705 | CA | Practitioner - Chiropractic | 9830494996 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC20457 | CA | MD | Chiropractor |
| 20457 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536192000000",
"number": "1285763003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9150 WILSHIRE BLVD",
"address_2": "STE 250",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902123429",
"telephone_number": "310-271-9968",
"fax_number": "310-271-9575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9150 WILSHIRE BLVD",
"address_2": "SUITE 250",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902123427",
"telephone_number": "310-271-9968",
"fax_number": "310-271-9575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNENBAUM",
"first_name": "DAVID",
"middle_name": "EMIL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2018-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC20457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.