NPIMap

Organization Active NPI

Tap Into Wellness PLLC

  • Chiropractor
  • Sierra Vista, AZ
National Provider Identifier
1346484045
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8029 Issued in AZ
Legal business name
TAP INTO WELLNESS PLLC
Practice address
2151 S Highway 92
Suite # 109
Sierra Vista, AZ 85635-5282
Phone
(520) 458-1507
Fax
(520) 458-1580
NPI assigned
Apr 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Authorized official

Name
Dr. Tap Duong, D.C.NPI 1780828640
Title
Owner
Phone
(520) 458-1507

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8029 AZ Primary

Addresses

Primary practice location

2151 S Highway 92
Suite # 109
Sierra Vista, AZ 85635-5282

Mailing address

2151 S Highway 92
Suite # 109
Sierra Vista, AZ 85635-5282
Phone (520) 458-1507

Other identifiers 1

IdentifierTypeStateIssuer
1780828640OtherAZINDIVIDUAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090612000193 AZ Part B Supplier - Clinic/Group Practice 9335299395 Receives reassigned benefits from 1 practitioner
Practice locations: Sierra Vista, AZ

National Provider Directory

National Provider Directory

Locations

2151 S Highway 92
Ste 109
Sierra Vista, AZ 85635
Phone (520) 220-0183

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1346484045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 S HIGHWAY 92",
            "address_2": "SUITE # 109",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856355282",
            "telephone_number": "520-458-1507",
            "fax_number": "520-458-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 S HIGHWAY 92",
            "address_2": "SUITE # 109",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856355282",
            "telephone_number": "520-458-1507",
            "fax_number": "520-458-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAP INTO WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "TAP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-458-1507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1780828640",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.