Active NPI
Troy Mark Tann, B.S.N., D.C.
- Sports Physician Chiropractor
- Naperville, IL
National Provider Identifier
1972627271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- Practice address
- 2112 Winding River Dr
Suite#120
Naperville, IL 60564-8554 - Phone
- (630) 428-2299
- Fax
- (630) 904-2299
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | IL | Primary |
Addresses
Primary practice location
2112 Winding River Dr
Suite#120
Naperville, IL 60564-8554
Mailing address
764 Sumac Dr
Aurora, IL 60506-8875
Phone (630) 897-6082
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220510002819 | IL | Practitioner - Chiropractic | 5395122477 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972627271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "764 SUMAC DR",
"city": "AURORA",
"state": "IL",
"postal_code": "605068875",
"telephone_number": "630-897-6082",
"fax_number": "630-897-6053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2112 WINDING RIVER DR",
"address_2": "SUITE#120",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605648554",
"telephone_number": "630-428-2299",
"fax_number": "630-904-2299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANN",
"first_name": "TROY",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "B.S.N., D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.