Active NPI
Tanya Rhea Jantz, DC
- Chiropractor
- Cimarron, KS
National Provider Identifier
1720096563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104128
- Practice address
- 101 W Kansas
Cimarron, KS 67835-0335 - Phone
- (620) 855-2163
- Fax
- (620) 855-2488
- NPI assigned
- Aug 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104128 | KS | Primary |
| Chiropractor | 111N00000X | 3660 | CO |
Addresses
Primary practice location
101 W Kansas
Cimarron, KS 67835-0335
Mailing address
PO Box 335
101 W Kansas
Cimarron, KS 67835-0335
Phone (620) 855-2163
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023754 | Other | KS | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050427000936 | KS | Practitioner - Chiropractic | 4688613805 | Practice locations: Cimarron, KS |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
101 W Kansas Ave
Cimarron, KS 67835-0335
Phone (620) 855-2163
PO Box
Cimarron, KS 67835-0335
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3660 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318291200000",
"number": "1720096563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 335",
"address_2": "101 W KANSAS",
"city": "CIMARRON",
"state": "KS",
"postal_code": "678350335",
"telephone_number": "620-855-2163",
"fax_number": "620-855-2488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W KANSAS",
"city": "CIMARRON",
"state": "KS",
"postal_code": "678350335",
"telephone_number": "620-855-2163",
"fax_number": "620-855-2488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANTZ",
"first_name": "TANYA",
"middle_name": "RHEA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2011-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "0104128",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "3660",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "023754",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cimarron, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.