Kevin Tackett, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2877 Issued in OH

Practice address

4165 Monroe St Ste a
Toledo, OH 43606-2038

Phone

(419) 754-1100

Fax

(419) 754-1103

NPI assigned

Feb 27, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Tackett Chiropractic Group

  • Chiropractor
  • Toledo, OH
  • NPI 1548121676
  NPD
• Jerrold L Solomon DC Inc

  • General Practice Physician
  • Tiffin, OH
  • NPI 1992926109
  NPD (past)

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1992245880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4165 MONROE ST STE A",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436062038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 MONROE ST STE A",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436062038",
            "telephone_number": "419-754-1100",
            "fax_number": "419-754-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACKETT",
        "first_name": "KEVIN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aasiyah Taalib-Deen
• Arooj Tabassum, MD
• Tabb Enterprises Inc
• Nicholas Tabb, PHARMD, RPH
• Tackett Chiropractic Group
• Steve Tadegrin
• Cathy Lynn Tafelski
• Ishmael Tagoe, PA-C, PHD, MPA
• Assad Taha, MD, PHD
• Omar Sherif Taha, M.D.

• Chiropractor in Toledo, OH
• Providers in Toledo, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.