Individual provider Active NPI

Jacob Andrew Tazzi, D.C.

  • Chiropractor
  • Albion, MI
National Provider Identifier
1336492693
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009957 Issued in MI
Practice address
300 Austin Ave
Albion, MI 49224-1207
Phone
(517) 629-5505
Fax
(517) 629-3805
NPI assigned
Oct 23, 2012
Last updated
Jul 8, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009957 MI Primary

Addresses

Primary practice location

300 Austin Ave
Albion, MI 49224-1207

Mailing address

300 Austin Ave
Albion, MI 49224-1207
Phone (517) 629-5505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121128000739 MI Practitioner - Chiropractic 5799937637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albion Family Chiropractic PLLCGroup PAC ID 2062664907, 6 clinicians

Practice addresses (Care Compare)

300 Austin Ave
Albion, MI 49224-1207
Phone (517) 629-5505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan's Family Chiropractic- Albion, PLLC Chiropractor CurrentSince Oct 26, 2012 Accepting new patients

Locations

300 Austin Ave
Albion, MI 49224
Phone (517) 629-5505

1467 S Main St
Eaton Rapids, MI 48827
Phone (517) 441-9177

610 W Michigan Ave
Jackson, MI 49201
Phone (517) 784-9101

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1336492693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 AUSTIN AVE",
            "city": "ALBION",
            "state": "MI",
            "postal_code": "492241207",
            "telephone_number": "517-629-5505",
            "fax_number": "517-629-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 AUSTIN AVE",
            "city": "ALBION",
            "state": "MI",
            "postal_code": "492241207",
            "telephone_number": "517-629-5505",
            "fax_number": "517-629-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAZZI",
        "first_name": "JACOB",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-23",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albion, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.