Individual provider Active NPI

Joshua Ryan Tanner, D.C.

  • Chiropractor
  • Altamonte Springs, FL
National Provider Identifier
1801251012
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 11535 Issued in FL
Practice address
499 E Central Pkwy Ste 245
Altamonte Springs, FL 32701-3401
Phone
(407) 332-1904
Fax
(407) 332-1206
NPI assigned
Dec 15, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 11535 FL Primary

Addresses

Primary practice location

499 E Central Pkwy Ste 245
Altamonte Springs, FL 32701-3401

Mailing address

499 E Central Pkwy Ste 245
Altamonte Springs, FL 32701-3401
Phone (407) 332-1904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160620000089 FL Practitioner - Chiropractic 9133410335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

499 E Central Pkwy
Suite 245
Altamonte Springs, FL 32701-3401
Phone (407) 332-1904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 11535FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Cracks LLC Chiropractor CurrentSince Jul 1, 2022 Accepting new patients

Locations

499 E Central Pkwy
Ste 245
Altamonte Springs, FL 32701
Phone (407) 332-1904

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1801251012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 E CENTRAL PKWY STE 245",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327013401",
            "telephone_number": "407-332-1904",
            "fax_number": "407-332-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 E CENTRAL PKWY STE 245",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327013401",
            "telephone_number": "407-332-1904",
            "fax_number": "407-332-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "JOSHUA",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-15",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 11535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.

Verify at the official NPI Registry.