Individual provider Active NPI

Dennis Howard Tall, D.C., R.N.

  • Chiropractor
  • Central Point, OR
National Provider Identifier
1508940156
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
27-2680 Issued in OR
Practice address
990 S Front St
Central Point, OR 97502-2727
Phone
(541) 664-5253
Fax
(541) 664-1165
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 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 27-2680 OR Primary

Addresses

Primary practice location

990 S Front St
Central Point, OR 97502-2727

Mailing address

990 S Front St
Central Point, OR 97502-2727
Phone (541) 664-5253

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
27-2680ORMDChiropractor
2680ORMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1508940156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 S FRONT ST",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022727",
            "telephone_number": "541-664-5253",
            "fax_number": "541-664-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 S FRONT ST",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022727",
            "telephone_number": "541-664-5253",
            "fax_number": "541-664-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALL",
        "first_name": "DENNIS",
        "middle_name": "HOWARD",
        "credential": "D.C., R.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27-2680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Point, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.