Individual provider Active NPI

Jan Vincent Tan, DC

  • Chiropractor
  • Bellingham, WA
National Provider Identifier
1821620238
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61033448 Issued in WA
Practice address
2930 Newmarket St Ste 115
Bellingham, WA 98226-3870
Phone
(360) 656-5131
Fax
(360) 656-5131
NPI assigned
Feb 4, 2020
Last updated
Nov 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61033448 WA Primary

Addresses

Primary practice location

2930 Newmarket St Ste 115
Bellingham, WA 98226-3870

Mailing address

511 E Magnolia St Ste 300
Bellingham, WA 98225-4559
Phone (971) 227-7442

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201104001139 WA Practitioner - Chiropractic 0749690634 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH61033448WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Luther and Luther PLLC Chiropractor CurrentSince Oct 31, 2020 Accepting new patients
Discover Chiropractic PLLC Chiropractor PastSince Feb 1, 2020 Accepting new patients

Locations

2930 Newmarket St
Ste 115
Bellingham, WA 98226
Phone (360) 347-2609

3114 Newmarket St
Bellingham, WA 98226
Phone (360) 460-3740

Organizations & group practices 2

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": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1821620238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 E MAGNOLIA ST STE 300",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254559",
            "telephone_number": "971-227-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 NEWMARKET ST STE 115",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982263870",
            "telephone_number": "360-656-5131",
            "fax_number": "360-656-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "JAN VINCENT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61033448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.