Individual provider Active NPI

Tammera Converse, DC

  • Chiropractor
  • Clay Center, KS
National Provider Identifier
1487666491
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4054 Issued in KS
Practice address
627 Court St
Clay Center, KS 67432-2607
Phone
(785) 632-2211
NPI assigned
Aug 12, 2006
Last updated
Jan 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4054 KS Primary

Addresses

Primary practice location

627 Court St
Clay Center, KS 67432-2607

Mailing address

627 Court St
Clay Center, KS 67432-2607
Phone (785) 632-2211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050428000214 KS Practitioner - Chiropractic 4981643087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Pro Health Inc.Group PAC ID 7416996798, 3 clinicians

Practice addresses (Care Compare)

320 Washington St
Converse Chiropractic
Clyde, KS 66938-9664
Phone (785) 446-3743

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Health Inc. Chiropractor CurrentSince Jan 29, 1991 Accepting new patients
Resco Chiropractic Clinic, P.a. Chiropractor PastSince Jan 29, 1991 Accepting new patients

Locations

627 Court St
Clay Center, KS 67432
Phone (785) 632-2211

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1487666491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 COURT ST",
            "city": "CLAY CENTER",
            "state": "KS",
            "postal_code": "674322607",
            "telephone_number": "785-632-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 COURT ST",
            "city": "CLAY CENTER",
            "state": "KS",
            "postal_code": "674322607",
            "telephone_number": "785-632-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONVERSE",
        "first_name": "TAMMERA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "4054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clay Center, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.