Tanya Lauren Carlson, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-01224 Issued in IL

Practice address

916 W Belmont Ave
Chicago, IL 60657-4427

Phone

(773) 665-4400

NPI assigned

Jan 15, 2013

Sex

Female

Sole proprietor

Yes

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 IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Realign Med, S.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1427195395
  NPD (past)

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1699012237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574427",
            "telephone_number": "773-665-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574427",
            "telephone_number": "773-665-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "TANYA",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-01224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maci Carlson, MD
• Max Carlson, OTD, OTR/L
• Nicole W Carlson, RN, CPNP
• Rachel Carlson, LCSW
• Sarah Jane Frailey Carlson, DDS
• Thomas A Carlson, M.D.
• Walter Carlson, M.ED., CADC, LCPC
• Luke Carlstrom, MD
• Morgan Carlstrom
• Rebecca Elizabeth Carlstrom, ATC

• Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.