Active NPI
Shirley Tan, M.D.
- Pediatrics Physician
- Claremont, NH
National Provider Identifier
1851356448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 9263
- Practice address
- 7 Dunning Street
Claremont, NH 03743 - Phone
- (603) 542-6700
- Fax
- (603) 542-6703
- NPI assigned
- Apr 18, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 9263 | NH | Primary |
Addresses
Primary practice location
7 Dunning Street
Claremont, NH 03743
Mailing address
243 Elm Street
Claremont, NH 03743
Phone (603) 542-6700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3077278 | Medicaid | NH | |
| 1014012 | Medicaid | VT |
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463097600000",
"number": "1851356448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 ELM STREET",
"city": "CLAREMONT",
"state": "NH",
"postal_code": "03743",
"telephone_number": "603-542-6700",
"fax_number": "603-542-6703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 DUNNING STREET",
"city": "CLAREMONT",
"state": "NH",
"postal_code": "03743",
"telephone_number": "603-542-6700",
"fax_number": "603-542-6703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN",
"first_name": "SHIRLEY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-18",
"last_updated": "2016-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NH",
"license": "9263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3077278",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1014012",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Claremont, NH
- Sullivan County Oral Health Collaborative (Community Dental Care of Claremont)
- Corinne Kravitz Sullivan, MD
- Matthew R Sullivan, M.D.
- Malcolm Sutton
- Kylee Taft-Brown
- Robert L. Tatro Jr., D.M.D.
- TC Healthcare I, LLC (Haven Nursing and Rehabilitation Center)
- Tenney Health Associates PLLC
- Danielle Tenney, LICSW
- Diane M Tensen, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.