Active NPI
Allen Brian Tanner, DC
- Chiropractor
- Des Moines, WA
National Provider Identifier
1609907351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00001568
- Practice address
- 3027 S 224TH St
Des Moines, WA 98198-5135 - Phone
- (206) 878-8124
- Fax
- (206) 878-8509
- NPI assigned
- Mar 7, 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 | CH00001568 | WA | Primary |
Addresses
Primary practice location
3027 S 224TH St
Des Moines, WA 98198-5135
Mailing address
3027 S 224TH St
Des Moines, WA 98198-5135
Phone (206) 878-8124
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00001568 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609907351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3027 S 224TH ST",
"city": "DES MOINES",
"state": "WA",
"postal_code": "981985135",
"telephone_number": "206-878-8124",
"fax_number": "206-878-8509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3027 S 224TH ST",
"city": "DES MOINES",
"state": "WA",
"postal_code": "981985135",
"telephone_number": "206-878-8124",
"fax_number": "206-878-8509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNER",
"first_name": "ALLEN",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00001568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, WA
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.