Tanner Mazour, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3592 Issued in TN

Practice address

1633 W Main St Ste 401
Lebanon, TN 37087-7804

Phone

(615) 444-2234

NPI assigned

Jun 8, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, NE2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Si & T Chiropractic, LLC

  • Chiropractor
  • Lincoln, NE
  • NPI 1952121915
  Medicare reassignment NPD
• Scholl Spine and Sport, P.C.

  • Clinic/Center
  • Omaha, NE
  • NPI 1750802203
  NPD (past)

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1629707294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 W MAIN ST STE 401",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370877804",
            "telephone_number": "402-741-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 W MAIN ST STE 401",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370877804",
            "telephone_number": "615-444-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZOUR",
        "first_name": "TANNER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matrescent Mind, PLLC
• Kimberly Anne Maxey, PHARMD
• Jacob Maxwell
• Glenda Denise Maynard, MMFT
• Zachary Scott Mayo, MD
• Melissa McAnally, FNP-C
• Rachel McBride, RBT
• Brooke McCall
• William Joel McCall, PA-C
• Lauren McCarter, LAT, ATC

• Chiropractor in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.