Individual provider Active NPI

Tan T. Tran, D.C.

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1669590311
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8167 Issued in FL
Practice address
1310 S Howard Ave
Tampa, FL 33606-3125
Phone
(813) 857-8726
Fax
(813) 253-0411
NPI assigned
Mar 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 CH8167 FL Primary

Addresses

Primary practice location

1310 S Howard Ave
Tampa, FL 33606-3125

Mailing address

1310 S Howard Ave
Tampa, FL 33606-3125
Phone (813) 857-8726

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071019000207 FL Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 3779679998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3715 W Azeele St
Tampa, FL 33609-2807
Phone (813) 253-0711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tran Chiropractic & Wellness Center Inc Chiropractor CurrentSince Sep 19, 2007 Accepting new patients
Essential Integrative Medicine LLC PastSince Oct 20, 2012 Accepting new patients

Locations

3715 W Azeele St
Tampa, FL 33609
Phone (813) 253-0711

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669590311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 S HOWARD AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063125",
            "telephone_number": "813-857-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 S HOWARD AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063125",
            "telephone_number": "813-857-8726",
            "fax_number": "813-253-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "TAN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.