Organization Active NPI

Tanis Chiropractic PC

  • Chiropractor
  • Hewitt, NJ
National Provider Identifier
1285800755
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC03939 Issued in NJ
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Dr. Lora L Tanis, DCNPI 1134268337
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5643902MedicaidNJ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.