Individual provider Active NPI

Jan A Perez Tavarez, DC

  • Chiropractor
  • Pataskala, OH
National Provider Identifier
1497668651
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
05577 Issued in OH
Practice address
30 S Township Rd
Pataskala, OH 43062-8952
Phone
(787) 661-2354
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 05577 OH Primary

Addresses

Primary practice location

30 S Township Rd
Pataskala, OH 43062-8952

Mailing address

30 S Township Rd
Pataskala, OH 43062-8952
Phone (740) 927-7026

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1497668651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S TOWNSHIP RD",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430628952",
            "telephone_number": "740-927-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S TOWNSHIP RD",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430628952",
            "telephone_number": "787-661-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ TAVAREZ",
        "first_name": "JAN",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "05577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pataskala, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.