NPIMap

Organization Active NPI

Tanasse Chiropractic, Inc.

  • Rehabilitation Chiropractor
  • Tumwater, WA
National Provider Identifier
1689744534
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CH00033999 Issued in WA
Legal business name
TANASSE CHIROPRACTIC, INC.
Practice address
344 Cleveland Ave SE
Suite D
Tumwater, WA 98501-3342
Phone
(360) 357-5170
Fax
(360) 357-5173
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Authorized official

Name
Dr. John Francis Tanasse, D.C.NPI 1548341670
Title
Officer, Owner
Phone
(360) 357-5170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X CH00033999 WA Primary

Addresses

Primary practice location

344 Cleveland Ave SE
Suite D
Tumwater, WA 98501-3342

Mailing address

344 Cleveland Ave SE
Suite D
Tumwater, WA 98501-3342
Phone (360) 357-5170

Other identifiers 1

IdentifierTypeStateIssuer
0151745OtherWAWORKER'S COMPENSATION, WA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040413001741 WA Part B Supplier - Clinic/Group Practice 3971597733 Receives reassigned benefits from 4 practitioners
Practice locations: Tumwater, WA

National Provider Directory

National Provider Directory

Locations

1303 4th Ave E
Olympia, WA 98506
Phone (360) 357-5170

344 Cleveland Ave SE
Ste D
Tumwater, WA 98501
Phone (360) 357-5170

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1689744534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 CLEVELAND AVE SE",
            "address_2": "SUITE D",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985013342",
            "telephone_number": "360-357-5170",
            "fax_number": "360-357-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 CLEVELAND AVE SE",
            "address_2": "SUITE D",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985013342",
            "telephone_number": "360-357-5170",
            "fax_number": "360-357-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANASSE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "TANASSE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OFFICER, OWNER",
        "authorized_official_telephone_number": "360-357-5170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "WA",
            "license": "CH00033999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMPENSATION, WA",
            "identifier": "0151745",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.