Individual provider Active NPI

Donald Stephen Tanner, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Tamarac, FL
National Provider Identifier
1609871367
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO 729 Issued in FL
Practice address
7421 N University Dr
Ste 204
Tamarac, FL 33321-2953
Phone
(954) 722-1000
Fax
(954) 721-7333
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO 729 FL Primary

Addresses

Primary practice location

7421 N University Dr
Ste 204
Tamarac, FL 33321-2953

Mailing address

7421 N University Dr
Ste 204
Tamarac, FL 33321-2953
Phone (954) 722-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101109001169 FL Practitioner - Podiatry 6305918137 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Barry University Inc Foot & Ankle Surgery CurrentSince May 1, 2023 Accepting new patients
Barry University Inc Foot & Ankle Surgery CurrentSince May 1, 2023 Accepting new patients
David S. Chen DPM PA PastSince Dec 15, 2010 Accepting new patients

Locations

3659 S Miami Ave
Ste 3008
Miami, FL 33133
Phone (305) 859-7777

11300 NE 2nd Ave
Miami Shores, FL 33161
Phone (305) 899-3000

7301 N University Dr
Ste 205
Tamarac, FL 33321
Phone (954) 720-7772

Organizations & group practices 3

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1609871367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 N UNIVERSITY DR",
            "address_2": "STE 204",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212953",
            "telephone_number": "954-722-1000",
            "fax_number": "954-721-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 N UNIVERSITY DR",
            "address_2": "STE 204",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212953",
            "telephone_number": "954-722-1000",
            "fax_number": "954-721-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "DONALD",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.