Individual provider Active NPI

Clay Tenbarge, DC

  • Chiropractor
  • Connersville, IN
National Provider Identifier
1710486105
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003016A Issued in IN
Practice address
208 W 20TH St
Connersville, IN 47331-2850
Phone
(765) 825-3521
Fax
(765) 825-8554
NPI assigned
Feb 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003016A IN Primary

Addresses

Primary practice location

208 W 20TH St
Connersville, IN 47331-2850

Mailing address

208 W 20TH St
Connersville, IN 47331-2850
Phone (765) 825-3521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20180307001849 IN Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 6709147739 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Logan College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

208 W 20TH St
Connersville, IN 47331-2850
Phone (765) 825-3521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Chiropractic & Rehab Chiropractor CurrentSince Feb 7, 2024 Accepting new patients
Spine & Neuromuscular Associates of Sei PSC Chiropractor CurrentSince Feb 3, 2018 Accepting new patients

Locations

208 W 20th St
Connersville, IN 47331
Phone (765) 825-3521

120 Industrial Dr
Lawrenceburg, IN 47025
Phone (812) 537-5616

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1710486105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W 20TH ST",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473312850",
            "telephone_number": "765-825-3521",
            "fax_number": "765-825-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W 20TH ST",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473312850",
            "telephone_number": "765-825-3521",
            "fax_number": "765-825-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENBARGE",
        "first_name": "CLAY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-12",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003016A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Connersville, IN

Sources for this page

Verify at the official NPI Registry.