Ian Tess-Wanat, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

04211 Issued in MD

Practice address

331 Oak Manor Dr Ste 101
Glen Burnie, MD 21061-5553

Phone

(410) 766-4878

Fax

(410) 766-6619

NPI assigned

Feb 27, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Yc Clinic LLC

  • Chiropractor
  • Glen Burnie, MD
  • NPI 1689790560
  Medicare reassignment NPD

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1861258865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 OAK MANOR DR STE 101",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615553",
            "telephone_number": "410-766-4878",
            "fax_number": "410-766-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 OAK MANOR DR STE 101",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615553",
            "telephone_number": "410-766-4878",
            "fax_number": "410-766-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESS-WANAT",
        "first_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "04211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tender Hands Home Health Care LLC
• Tender Loving Care Adult Daycare
• Elodie Tendoh, PHARMD
• Terri L Hill MD PA
• Anika Terry
• The Glen Burnie Neck and Back Pain Center LLC
• The Great Atlantic and Pacific Tea Company Inc
• The Heart Center of Northern Anne Arundel County PA
• The Holistic Group Inc
• The Holistic Group Inc.

• Chiropractor in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.