Active NPI
Tyan Elizabeth Payne, DC
- Chiropractor
- Wasilla, AK
National Provider Identifier
1992875777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 295
- Practice address
- 546 N Main St
Wasilla, AK 99654-7019 - Phone
- (907) 376-2600
- Fax
- (907) 376-2605
- NPI assigned
- Nov 8, 2006
- Last updated
- Jul 28, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 295 | AK | Primary |
Addresses
Primary practice location
546 N Main St
Wasilla, AK 99654-7019
Mailing address
546 N Main St
Wasilla, AK 99654-7019
Phone (907) 376-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH0295 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
546 N Main St
Wasilla, AK 99654-7019
Phone (907) 376-2600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Back and Neck Pain Relief Center of Wasilla
- Chiropractor
- Wasilla, AK
- NPI 1891828786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280275200000",
"number": "1992875777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "546 N MAIN ST",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547019",
"telephone_number": "907-376-2600",
"fax_number": "907-376-2605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "546 N MAIN ST",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547019",
"telephone_number": "907-376-2600",
"fax_number": "907-376-2605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "TYAN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2010-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AK",
"license": "295",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CH0295",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.