Active NPI
Jeffrey S Tanzar, D.C.
- Chiropractor
- Forest, VA
National Provider Identifier
1598987877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104001938
- Practice address
- 1088 Vista Park Dr
Suite C
Forest, VA 24551-2761 - Phone
- (434) 385-1110
- Fax
- (434) 385-1115
- NPI assigned
- May 3, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104001938 | VA | Primary |
Addresses
Primary practice location
1088 Vista Park Dr
Suite C
Forest, VA 24551-2761
Mailing address
1088 Vista Park Drive
Suite C
Forest, VA 24551
Phone (434) 385-1110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 287170 | Other | VA | ANTHEM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104001938 | VA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598987877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1088 VISTA PARK DRIVE",
"address_2": "SUITE C",
"city": "FOREST",
"state": "VA",
"postal_code": "24551",
"telephone_number": "434-385-1110",
"fax_number": "434-385-1115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1088 VISTA PARK DR",
"address_2": "SUITE C",
"city": "FOREST",
"state": "VA",
"postal_code": "245512761",
"telephone_number": "434-385-1110",
"fax_number": "434-385-1115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANZAR",
"first_name": "JEFFREY",
"middle_name": "S",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104001938",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "287170",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Forest, VA
- Charles Turpin Swartz, DDS
- Lisa Swezey, NP
- Kyle Swim, OTR/L
- Jacob Tanner, DPT
- Tanzar Chiropractic Wellcare Center
- Lisa Block Tharpe
- The Dizzy PT
- The Forest Pharmacy Inc (Forest Pharmacy Inc)
- The Hive Day Services, LLC
- The Orthopaedic Center of Central Virginia, Inc. (Central Virginia Orthopaedics, Forest)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.