Individual provider Active NPI

Tamara Lynn Christiansen, D.C.

  • Chiropractor
  • Ann Arbor, MI
National Provider Identifier
1831241108
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
TC007291 Issued in MI
Practice address
250 W Eisenhower Pkwy Ste 120
Ann Arbor, MI 48103-6948
Phone
(734) 302-7000
Fax
(734) 302-7001
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X TC007291 MI Primary

Addresses

Primary practice location

250 W Eisenhower Pkwy Ste 120
Ann Arbor, MI 48103-6948

Mailing address

250 W Eisenhower Pkwy Ste 120
Ann Arbor, MI 48103-6948
Phone (734) 302-7000

Other identifiers 2

IdentifierTypeStateIssuer
N90410001OtherMICOMMON PROVIDER CODE
950H112460OtherMIBCBSM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040617000572 MI Practitioner - Chiropractic 1850375767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

250 W Eisenhower Pkwy
Ann Arbor, MI 48103-6948
Phone (734) 302-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TC007291MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic Clinics of Michigan, P.C. Chiropractor CurrentSince Jan 1, 2004 Accepting new patients
Paquin Chiropractic P.C. Chiropractor PastSince Apr 1, 2016 Accepting new patients

Locations

250 W Eisenhower Pkwy
Ste 120
Ann Arbor, MI 48103
Phone (734) 302-7000

144 S Industrial Dr
Saline, MI 48176
Phone (734) 944-8484

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1831241108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W EISENHOWER PKWY STE 120",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036948",
            "telephone_number": "734-302-7000",
            "fax_number": "734-302-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W EISENHOWER PKWY STE 120",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036948",
            "telephone_number": "734-302-7000",
            "fax_number": "734-302-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANSEN",
        "first_name": "TAMARA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "TC007291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMON PROVIDER CODE",
            "identifier": "N90410001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "950H112460",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.