Individual provider Active NPI

Tanner Ozanne

  • Chiropractor
  • Stevens Point, WI
National Provider Identifier
1427509439
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5212-12 Issued in WI
Practice address
2212 Division St
Stevens Point, WI 54481
Phone
(605) 295-0355
NPI assigned
Oct 14, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5212-12 WI Primary

Addresses

Primary practice location

2212 Division St
Stevens Point, WI 54481

Mailing address

2212 Division St
Stevens Point, WI 54481-3661
Phone (605) 295-0355

Other practice location 1

304 S Western Ave
Waupaca, WI 54981-5703
Phone (715) 258-8211

Other practice location 2

304 S Western Ave
Waupaca, WI 54981-5703
Phone (715) 258-8211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5212-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Raschke Chiropractic Center SC Chiropractor PastSince Apr 29, 2011 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1427509439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 DIVISION ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544813661",
            "telephone_number": "605-295-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 DIVISION ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "54481",
            "telephone_number": "605-295-0355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Waupaca",
            "state": "WI",
            "postal_code": "549815703",
            "country_code": "US",
            "telephone_number": "715-258-8211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "304 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Waupaca",
            "state": "WI",
            "postal_code": "549815703",
            "country_code": "US",
            "telephone_number": "715-258-8211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OZANNE",
        "first_name": "TANNER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-14",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5212-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.