Individual provider Active NPI

Jordan Richard Tanko, D.C.

  • Rehabilitation Chiropractor
  • Ankeny, IA
National Provider Identifier
1760867725
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
077636 Issued in IA
Practice address
1605 SE Delaware Ave Ste D
Ankeny, IA 50021-4595
Phone
(515) 451-3337
NPI assigned
Jul 20, 2015
Last updated
Jul 20, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 077636 IA Primary

Addresses

Primary practice location

1605 SE Delaware Ave Ste D
Ankeny, IA 50021-4595

Mailing address

1605 SE Delaware Ave Ste D
Ankeny, IA 50021-4595
Phone (515) 451-3337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Family Chiropractic Ankeny Inc. CurrentSince Nov 6, 2020 Accepting new patients

Locations

1605 SE Delaware Ave
Ste D
Ankeny, IA 50021
Phone (515) 451-3337

Organizations & group practices 1

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": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1760867725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 SE DELAWARE AVE STE D",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500214595",
            "telephone_number": "515-451-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 SE DELAWARE AVE STE D",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500214595",
            "telephone_number": "515-451-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANKO",
        "first_name": "JORDAN",
        "middle_name": "RICHARD",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IA",
            "license": "077636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.