Individual provider Active NPI

Tanner Kinderman, DC

  • Chiropractor
  • Westminster, CA
National Provider Identifier
1386398444
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC36250 Issued in CA
Practice address
14120 Beach Blvd
Suite 214
Westminster, CA 92683-4454
Phone
(866) 303-9355
NPI assigned
Feb 8, 2022
Last updated
Feb 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC36250 CA Primary

Addresses

Primary practice location

14120 Beach Blvd
Suite 214
Westminster, CA 92683-4454

Mailing address

14120 Beach Blvd Ste 214
Westminster, CA 92683-4454
Phone (714) 988-4203

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220224001805 CA Practitioner - Chiropractic 2365836962 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Superior Joint and Spine Medical Center IncGroup PAC ID 1052655867, 9 clinicians

Practice addresses (Care Compare)

5455 Garden Grove Blvd
Suite 100
Westminster, CA 92683-8201
Phone (866) 303-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36250CAMDPsychologist
DC36250CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Joint and Spine Medical Center Inc. CurrentSince Feb 1, 2022 Accepting new patients
Advanced Joint and Spine Medical Center Inc. CurrentSince Feb 1, 2022 Accepting new patients
April Lopez Chiropractic. a Professional Corporation Chiropractor PastSince Feb 1, 2022 Accepting new patients
Orange County Wellness Physicians Medical Center Inc. PastSince Feb 13, 2022 Accepting new patients

Locations

2029 W Orangewood Ave
Ste A
Orange, CA 92868
Phone (714) 385-9088

14120 Beach Blvd
Ste 214
Westminster, CA 92683
Phone (714) 921-1546

5455 Garden Grove Blvd
Ste 100
Westminster, CA 92683
Phone (714) 362-7942

Organizations & group practices 4

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": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1386398444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14120 BEACH BLVD STE 214",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834454",
            "telephone_number": "714-988-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14120 BEACH BLVD",
            "address_2": "SUITE 214",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834454",
            "telephone_number": "866-303-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDERMAN",
        "first_name": "TANNER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.