NPIMap

Individual provider Active NPI

Tanja Sukovic, D.C.

  • Chiropractor
  • Parker, CO
National Provider Identifier
1841479904
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR-6219 Issued in CO
Practice address
12919 Stroh Ranch CT
Unit B
Parker, CO 80134-7707
Phone
(815) 501-4241
NPI assigned
Oct 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011015 IL
Chiropractor 111N00000X CHR-6219 CO Primary

Addresses

Primary practice location

12919 Stroh Ranch CT
Unit B
Parker, CO 80134-7707

Mailing address

18551 E Mainstreet Unit 105
Parker, CO 80134-4951
Phone (720) 851-7400

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR-6219COMDChiropractor
038011015ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Intergrative Health, SC Chiropractor Past Accepting new patients
Illinois Multi-Med SC Chiropractor Past Accepting new patients

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": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1841479904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18551 E MAINSTREET UNIT 105",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801344951",
            "telephone_number": "720-851-7400",
            "fax_number": "720-235-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12919 STROH RANCH CT",
            "address_2": "UNIT B",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347707",
            "telephone_number": "815-501-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKOVIC",
        "first_name": "TANJA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011015",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR-6219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.