Individual provider Active NPI

David Ryan Tener, D.C.

  • Nutrition Chiropractor
  • Kennesaw, GA
National Provider Identifier
1295093540
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
CHIRO08979 Issued in GA
Practice address
1350 Wooten Lake Rd NW Ste 103
Kennesaw, GA 30144-1346
Phone
(770) 974-7470
NPI assigned
Apr 24, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X CHIRO08979 GA Primary

Addresses

Primary practice location

1350 Wooten Lake Rd NW Ste 103
Kennesaw, GA 30144-1346

Mailing address

1817 Ashborough Cir SE Apt H
Marietta, GA 30067-6912
Phone (516) 695-2374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO08979GAMDNutrition Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1295093540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 ASHBOROUGH CIR SE APT H",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300676912",
            "telephone_number": "516-695-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 WOOTEN LAKE RD NW STE 103",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441346",
            "telephone_number": "770-974-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENER",
        "first_name": "DAVID",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "GA",
            "license": "CHIRO08979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.