Tanner Wayne Coleman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2015005071 Issued in MO

Practice address

1000 S West End St
Springdale, AR 72764-5239

Phone

(479) 751-8686

Fax

(479) 751-6022

NPI assigned

Jun 18, 2014

Last updated

Feb 26, 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jefferson City Medical Group, P.C.

  • Multi-Specialty Clinic/Center
  • Jefferson City, MO
  • NPI 1336189398
  Medicare reassignment NPD
• Coleman Consulting Group LLC

  dba Coleman Family Chiropractic

  • Chiropractor
  • Jefferson City, MO
  • NPI 1245608991
  NPD Authorized official
• Dr. Cindy Beemer PA

  dba Beemer Back Center

  • Chiropractor
  • Springdale, AR
  • NPI 1902934599
  NPD
• Jefferson City Medical Group, P.C.

  dba JCMG Hematology/Oncology

  • Hematology & Oncology Physician
  • Jefferson City, MO
  • NPI 1215093257
  NPD
• Jefferson City Medical Group, P.C.

  dba Fulton Express Care

  • Family Medicine Physician
  • Fulton, MO
  • NPI 1649099714
  NPD
• Jefferson City Medical Group, P.C.

  dba JCMG Laboratory

  • Clinical Medical Laboratory
  • Jefferson City, MO
  • NPI 1811292105
  NPD

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1407260425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S WEST END ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645239",
            "telephone_number": "479-751-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S WEST END ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645239",
            "telephone_number": "479-751-8686",
            "fax_number": "479-751-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "TANNER",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-18",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16374",
            "primary": false
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "AR",
            "license": "16374",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2015005071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald D Cole, D.C.
• Shasta Brooke Cole, MHPP
• Edward Sylvester Coleman, MHPP
• Jennifer Kay Coleman
• Monycia Coleman
• Marah Collette
• Collier Drug Stores Inc (Collier Drug - Har-Ber)
• Collier Drug Stores Inc (Collier Compounding)
• Collier Drug Stores Inc (Collier Drug-Har-Ber)
• Collier Drug Stores Inc (Collier Drug-Willow Creek)

• Chiropractor in Springdale, AR
• Providers in Springdale, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.