Active NPI
Tanner John Swystun, DC
- Chiropractor
- Willmar, MN
National Provider Identifier
1811540487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6638
- Practice address
- 1100 19TH Ave SW
Suite 3
Willmar, MN 56201 - Phone
- (306) 222-1984
- NPI assigned
- Jul 22, 2019
- 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 | 6638 | MN | Primary |
Addresses
Primary practice location
1100 19TH Ave SW
Suite 3
Willmar, MN 56201
Mailing address
5410 Lawler Beach Rd
Willmar, MN 56201
Phone (306) 222-1984
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6638 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
1100 19th Ave SW
Ste 3
Willmar, MN 56201
Phone (306) 222-1984
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": "1563753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1811540487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5410 LAWLER BEACH RD",
"city": "WILLMAR",
"state": "MN",
"postal_code": "56201",
"telephone_number": "306-222-1984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 19TH AVE SW",
"address_2": "SUITE 3",
"city": "WILLMAR",
"state": "MN",
"postal_code": "56201",
"telephone_number": "306-222-1984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWYSTUN",
"first_name": "TANNER",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-22",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willmar, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.