Active NPI
Tanis Chiropractic PC
- Chiropractor
- Hewitt, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC03939
- Legal business name
- TANIS CHIROPRACTIC PC
- Practice address
- 1900 Union Valley Rd
Suite 201
Hewitt, NJ 07421-3024 - Phone
- (973) 728-1188
- Fax
- (973) 728-1033
- NPI assigned
- May 5, 2008
- Last updated
- May 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lora L Tanis, DC
- Title
- Chirproactor/Owner
- Phone
- (973) 728-1188
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MC03939 | NJ | Primary |
Addresses
Primary practice location
1900 Union Valley Rd
Suite 201
Hewitt, NJ 07421-3024
Mailing address
1900 Union Valley Rd
Suite 201
Hewitt, NJ 07421-3024
Phone (973) 728-1188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5643902 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
1900 Union Valley Rd
Ste 201
Hewitt, NJ 07421
Phone (973) 728-1188
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Hewitt, NJ
- NPI 1134268337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209945600000",
"number": "1285800755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 UNION VALLEY RD",
"address_2": "SUITE 201",
"city": "HEWITT",
"state": "NJ",
"postal_code": "074213024",
"telephone_number": "973-728-1188",
"fax_number": "973-728-1033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 UNION VALLEY RD",
"address_2": "SUITE 201",
"city": "HEWITT",
"state": "NJ",
"postal_code": "074213024",
"telephone_number": "973-728-1188",
"fax_number": "973-728-1033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TANIS CHIROPRACTIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-05",
"last_updated": "2008-05-05",
"status": "A",
"authorized_official_last_name": "TANIS",
"authorized_official_first_name": "LORA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CHIRPROACTOR/OWNER",
"authorized_official_telephone_number": "973-728-1188",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC03939",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5643902",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hewitt, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.