Individual provider Active NPI

Craig Steven Tarini, D.C.

  • Chiropractor
  • Eau Claire, WI
National Provider Identifier
1982799425
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3591012 Issued in WI
Practice address
3519 Gateway Drive
Eau Claire, WI 54701-8795
Phone
(715) 831-0955
Fax
(715) 831-0949
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3591012 WI Primary

Addresses

Primary practice location

3519 Gateway Drive
Eau Claire, WI 54701-8795

Mailing address

3420 Mall Dr
Ste 1
Eau Claire, WI 54701-8147
Phone (715) 831-0955

Other identifiers 1

IdentifierTypeStateIssuer
38911300MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050815000928 WI Practitioner - Chiropractic 1658301171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gateway Chiropractic Center, S.C.Group PAC ID 2668402181, 5 clinicians

Practice addresses (Care Compare)

3420 Mall Dr
Suite 1
Eau Claire, WI 54701-8147
Phone (715) 832-3771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3591012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Chiropractic Center, S.C. Chiropractor CurrentSince Oct 1, 2012 Accepting new patients
Abens Olson Chiropractic Chiropractor PastSince Jan 29, 2005 Accepting new patients

Locations

3420 Mall Dr
Ste 1
Eau Claire, WI 54701
Phone (715) 832-3771

3519 Gateway Dr
Eau Claire, WI 54701
Phone (715) 831-0955

3420 Mall Dr
Ste 2
Eau Claire, WI 54701
Phone (715) 552-5254

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1982799425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 MALL DR",
            "address_2": "STE 1",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547018147",
            "telephone_number": "715-831-0955",
            "fax_number": "715-831-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 GATEWAY DRIVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547018795",
            "telephone_number": "715-831-0955",
            "fax_number": "715-831-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARINI",
        "first_name": "CRAIG",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3591012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38911300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.