Individual provider Active NPI

Gideon Michael Tarnasky, D.C.

  • Chiropractor
  • Independence, OR
National Provider Identifier
1457664732
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1890 Issued in OR
Practice address
9679 Wells Landing Rd
Independence, OR 97351-7902
Phone
(503) 838-6491
NPI assigned
Jul 15, 2010
Last updated
Jul 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1890 OR Primary
Orthopedic Chiropractor 111NX0800X 1890 OR

Addresses

Primary practice location

9679 Wells Landing Rd
Independence, OR 97351-7902

Mailing address

9679 Wells Landing Rd
Independence, OR 97351-7902
Phone (503) 838-6491

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100915000232 OR Practitioner - Chiropractic 5991820920 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffery W Baker DC PCGroup PAC ID 6204739337, 2 clinicians

Practice addresses (Care Compare)

4630 River Rd N a
Back to Health Clinic
Keizer, OR 97303-4648
Phone (503) 304-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Whitmire Chiropractic PC Chiropractor CurrentSince Apr 3, 2018 Accepting new patients
Jeffery W. Baker D.C. P.C. Chiropractor CurrentSince Sep 20, 2018 Accepting new patients

Locations

4630 River Rd N
Ste A
Keizer, OR 97303
Phone (503) 304-2225

1126 Lancaster Dr NE
Salem, OR 97301
Phone (503) 362-1002

Organizations & group practices 2

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": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1457664732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9679 WELLS LANDING RD",
            "city": "INDEPENDENCE",
            "state": "OR",
            "postal_code": "973517902",
            "telephone_number": "503-838-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9679 WELLS LANDING RD",
            "city": "INDEPENDENCE",
            "state": "OR",
            "postal_code": "973517902",
            "telephone_number": "503-838-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARNASKY",
        "first_name": "GIDEON",
        "middle_name": "MICHAEL",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "1890",
            "primary": true
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "OR",
            "license": "1890",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.