Michael G Tannenbaum, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301008615 Issued in MI

Practice address

4059 Stone School Rd
Ann Arbor, MI 48108-9723

Phone

(734) 929-0444

Fax

(734) 929-0350

NPI assigned

Feb 6, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

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.

• Tannenbaum Chiropractic LLC

  • Chiropractor
  • Ann Arbor, MI
  • NPI 1255445540
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1992845598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4059 STONE SCHOOL RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481089723",
            "telephone_number": "734-929-0444",
            "fax_number": "734-929-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4059 STONE SCHOOL RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481089723",
            "telephone_number": "734-929-0444",
            "fax_number": "734-929-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNENBAUM",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4755140",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CARE",
            "identifier": "NC011916",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Y Tang, PH.D.
• Joseph Dexter Tang
• Regan Tang
• Theresa Tanin, MASCN
• Tannenbaum Chiropractic LLC
• Moira Allison Tannenbaum, C.N.M., R.N.
• Tanner Schudlich Social Work, PLLC
• Tans Medical Service P C
• Linda Dian Tansil, LMSW
• Nicole Renee Tantipitham, CRNA

• Chiropractor in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.

Verify at the official NPI Registry.