Individual provider Active NPI

Tanya May Hebrink, D.C.

  • Chiropractor
  • Grand Rapids, MN
National Provider Identifier
1467637439
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
TBA Issued in MN
Practice address
1421 E US Highway 169
Grand Rapids, MN 55744-3375
Phone
(218) 326-1030
Fax
(218) 326-6927
NPI assigned
Jan 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X TBA MN Primary

Addresses

Primary practice location

1421 E US Highway 169
Grand Rapids, MN 55744-3375

Mailing address

PO Box 327
Grand Rapids, MN 55744-0327
Phone (218) 259-8254

Other identifiers 2

IdentifierTypeStateIssuer
455060900MedicaidMN
5078OtherMNCHIROPRACTIC LICENSE

Other names 1

  • Tanya May Christensen Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100624000645 MN Practitioner - Chiropractic 5890826523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1421 E US Hwy 169
Grand Rapids, MN 55744-3238
Phone (218) 326-1030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TBAMNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Rapids Chiropractic, PLLC Chiropractor CurrentSince Feb 6, 2012 Accepting new patients

Locations

1415 E US Highway 169
Grand Rapids, MN 55744
Phone (218) 326-1030

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": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1467637439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 327",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557440327",
            "telephone_number": "218-259-8254",
            "fax_number": "218-326-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 E US HIGHWAY 169",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443375",
            "telephone_number": "218-326-1030",
            "fax_number": "218-326-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBRINK",
        "first_name": "TANYA",
        "middle_name": "MAY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "TBA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "455060900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "5078",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "CHRISTENSEN",
            "middle_name": "MAY",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.