Individual provider Active NPI

Anne Marie Tardi, DC

  • Chiropractor
  • Highland, NY
National Provider Identifier
1619067402
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008824 Issued in NY
Practice address
216 Route 299
Highland, NY 12528
Phone
(845) 691-5550
Fax
(845) 691-6501
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X008824 NY Primary

Addresses

Primary practice location

216 Route 299
Highland, NY 12528

Mailing address

40 Sunny Brook Circle
Highland, NY 12528
Phone (845) 691-5550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130104000215 NY Practitioner - Chiropractic 1951554716 Practice locations: Clintondale, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X008824NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tardi Chiropractic PC Chiropractor Past Accepting new patients

Organizations & group practices 1

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619067402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SUNNY BROOK CIRCLE",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "12528",
            "telephone_number": "845-691-5550",
            "fax_number": "845-691-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 ROUTE 299",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "12528",
            "telephone_number": "845-691-5550",
            "fax_number": "845-691-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARDI",
        "first_name": "ANNE MARIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, NY

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.