Individual provider Active NPI

Tanner Scott Stoffer

  • Chiropractor
  • Columbus, OH
National Provider Identifier
1972191377
Registry record updated Jan 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-05034 Issued in OH
Practice address
5125 W Broad St
Columbus, OH 43228-1689
Phone
(614) 853-9077
NPI assigned
Jan 2, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-05034 OH Primary

Addresses

Primary practice location

5125 W Broad St
Columbus, OH 43228-1689

Mailing address

1152 Wimbeldon Blvd
Columbus, OH 43228-9320

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220725002845 FL Practitioner - Chiropractic 6507247335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7668 SW 60TH Ave
Suite 500
Ocala, FL 34476-6404
Phone (352) 351-2872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-05034OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropracticusa of Jasmine Inc Chiropractor CurrentSince Jul 11, 2022 Accepting new patients
Chiropractic USA of Buffalo Ridge Inc Chiropractor Past Accepting new patients
Chiropracticusa Ocala East,LLC Chiropractor PastSince May 3, 2019 Accepting new patients

Locations

7668 SW 60th Ave
Ste 500
Ocala, FL 34476
Phone (352) 351-2872

Organizations & group practices 3

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": "1609545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609545600000",
    "number": "1972191377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 WIMBELDON BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432289320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281689",
            "telephone_number": "614-853-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOFFER",
        "first_name": "TANNER",
        "middle_name": "SCOTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-02",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-05034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2021; 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.