Active NPI
Robert Tannenbaum, D.C.
- Chiropractor
- Tampa, FL
National Provider Identifier
1780815415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3109
- Practice address
- 1931A West Martin Luther King Jr. Blvd
Tampa, FL 33607-6529 - Phone
- (813) 873-9229
- Fax
- (813) 873-9228
- NPI assigned
- Jul 29, 2009
- Last updated
- Jul 29, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3109 | FL | Primary |
Addresses
Primary practice location
1931A West Martin Luther King Jr. Blvd
Tampa, FL 33607-6529
Mailing address
1931 West Martin Luther King Jr. Blvd
Suite a
Tampa, FL 33607-6529
Phone (813) 873-9229
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248825600000",
"number": "1780815415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1931 WEST MARTIN LUTHER KING JR. BLVD",
"address_2": "SUITE A",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076529",
"telephone_number": "813-873-9229",
"fax_number": "813-873-9228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1931A WEST MARTIN LUTHER KING JR. BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076529",
"telephone_number": "813-873-9229",
"fax_number": "813-873-9228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNENBAUM",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-29",
"last_updated": "2009-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "3109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.