Zachary R Tannous, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

34012 Issued in CA

Practice address

25002 Blue Ravine Rd Ste 130
Folsom, CA 95630

Phone

(916) 932-4838

Fax

(916) 618-4029

NPI assigned

Apr 2, 2019

Last updated

Apr 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: zachary.tannous@edchc.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carolyn Finnegan Chiropractic Corporation Align Chiropractic Center

  dba Align Chiropractic Center

  • Chiropractor
  • Oakland, CA
  • NPI 1881879146
  NPD
• 100 Chiropractic Labau, Inc

  • Chiropractor
  • Folsom, CA
  • NPI 1861060550
  NPD (past)
• El Dorado County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Placerville, CA
  • NPI 1316050107
  NPD (past)

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1316409071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25002 BLUE RAVINE RD STE 130",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "95630",
            "telephone_number": "916-932-4838",
            "fax_number": "916-618-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25002 BLUE RAVINE RD STE 130",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "95630",
            "telephone_number": "916-932-4838",
            "fax_number": "916-618-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNOUS",
        "first_name": "ZACHARY",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2024-04-22",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "34012",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald D. Tamaru, MD
• Sally Tan, NP
• Karen Tang
• Kathleda Tangonan, MD
• Derrick S Tanihara, DDS
• Kiaria Kiyoko Tarver
• Molly Rae Tash
• Tavallaei DMD Corp (Make A Smile Children's Dental)
• Tavallaei, D.M.D., Corporation (Make a Smile)
• Monica Tavallaei, D.M.D.

• Chiropractor in Folsom, CA
• Providers in Folsom, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.

Verify at the official NPI Registry.