Individual provider Active NPI

Tanner Christensen, DC

  • Chiropractor
  • Peculiar, MO
National Provider Identifier
1902361587
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0105961 Issued in KS
Practice address
C, 201 State Hwy C
Peculiar, MO 64078
Phone
(816) 779-1022
NPI assigned
Feb 7, 2019
Last updated
Oct 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0105961 KS Primary

Addresses

Primary practice location

C, 201 State Hwy C
Peculiar, MO 64078

Mailing address

8609 W 78TH Ter
Overland Park, KS 66204-2621
Phone (970) 380-1340

Other practice location 1

9150 Glenwood St
Overland Park, KS 66212-1364
Phone (913) 385-1999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191028000503 KS Practitioner - Chiropractic 7719219658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

343 W 23Rd St
Suite 4
Ottawa, KS 66067-9502
Phone (970) 380-1340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allegiant Health and Laser Chiropractor CurrentSince Sep 1, 2019 Accepting new patients

Locations

343 W 23rd St
Ste 4
Ottawa, KS 66067
Phone (913) 424-0324

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": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1902361587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8609 W 78TH TER",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042621",
            "telephone_number": "970-380-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C, 201 STATE HWY C",
            "city": "PECULIAR",
            "state": "MO",
            "postal_code": "64078",
            "telephone_number": "816-779-1022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9150 Glenwood St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662121364",
            "country_code": "US",
            "telephone_number": "913-385-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "TANNER",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0105961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peculiar, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.