DR. DAVID ROSS TANNER (NPI# 1629190723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629190723 |
| Entity Type | Individual |
| Full Name | DR. DAVID ROSS TANNER |
| Credential | D.C. |
| Practice Address |
212 Main St Lincoln Park NJ 07035-3700 |
| Mailing Address |
17 Sunrise Way Towaco NJ 07082-1547 |
| Practice Telephone | 9732687723 |
| Practice Fax Number | 9736287742 |
| Mailing Telephone | 9733342664 |
| Mailing Fax Number | 9736827742 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | MCC 00228900 | NJ | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | HORIZON BC BS | 22 24230010 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619413556 | David Scott Tanner | Physical Therapist | 1820 Brookwood Ave, Burlington, NC 27215-3200 | 2017-01-17 |
| 1629032776 | David E Tanner | General Practice | 82 Red Hill Rd, Newport, PA 17074-8708 | 2006-04-14 |
| 1376076844 | David Tanner | Pharmacist | 2901 Rock Creek Pkwy, Kansas City, MO 64117-2536 | 2017-04-11 |
| 1720452279 | David Benjamin Tanner | Counselor | 4800 East 17160 North, Moroni, UT 84646-0028 | 2015-11-20 |
| 1447437280 | David A Tanner | Preventive Medicine | 500 London Ave, Marysville, OH 43040-5512 | 2008-01-23 |
| 1043435936 | David A Tanner | Dentist | 22800 Lyons Ave, Suite 200, Newhall, CA 91321 | 2007-04-16 |
| 1497806434 | David J Tanner | Pharmacist | 200 W Main St, Jackson, TN 38301-6114 | 2007-01-16 |
| 1912016023 | David Lyon Tanner | Anesthesiology | 100 N Medical Dr, Salt Lake City, UT 84113-1103 | 2006-08-30 |
| 1609897578 | David Eric Tanner | Neuromusculoskeletal Medicine & OMM | 5387 Manhattan Cir, Suite 201, Boulder, CO 80303-4284 | 2006-07-23 |
| 1396785218 | David D Tanner | Allergy & Immunology | 2045 Peachtree Rd Ne Ste 800, Atlanta, GA 30309-1412 | 2006-06-08 |
| Street Address |
212 MAIN ST |
| City | LINCOLN PARK |
| State | NJ |
| Zip Code | 07035-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497909469 | Lincoln Park Physical Therapy and Sports Rehabilitation, LLC | Clinic/Center | 212 Main St, Suite B, Lincoln Park, NJ 07035-3700 | 2008-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306333802 | Nancy Barrett | Massage Therapist | 63 Beaver Brook Road, Suite 105, Lincoln Park, NJ 07035 | 2018-04-19 |
| 1407182801 | Jody S Chimbel-berg | Occupational Therapist | 503 Pine Brook Rd., Lincoln Park, NJ 07035 | 2009-10-20 |
| 1588999486 | Jeffrey Michael Falduto | Dentist | 8 Chapel Hill Road, Lincoln Park, NJ 07035 | 2009-10-09 |
| 1467785519 | Richard Anthony Ashman | Physical Therapy Assistant | 503 Pine Brook Road, Lincoln Park, NJ 07035 | 2009-09-08 |
| 1679795835 | Anju Budhwani | Internal Medicine | 166 Main St Ste 1a, Lincoln Park, NJ 07035 | 2007-05-03 |
| 1740356575 | Anna Marie Kotsen | Marriage & Family Therapist | 59 Beaver Brook Rd, Suite 303d, Lincoln Park, NJ 07035 | 2006-11-24 |
| 1700992039 | Jeffrey M Falduto Dmd Dental Practice LLC | Dentist | 8 Chapel Hill Rd, Lincoln Park, NJ 07035 | 2006-08-21 |
| 1063877207 | Kenneth Fernandez | Occupational Therapy Assistant | 209 Comly Rd, M13, Lincoln Park, NJ 07035 | 2015-12-15 |
| 1316273717 | Beata Hertel-kiszkiel | Occupational Therapist | 503 Pine Brook Road, Lincoln Park, NJ 07035 | 2009-10-20 |
| 1750523726 | Walgreen Co | Pharmacy | 153 Main St, Lincoln Park, NJ 07035 | 2009-04-06 |
| Find all providers in zip 07035 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164614277 | Jennifer Nicole Mattiello | Chiropractor | 9 Mason Ave, Lincoln Park, NJ 07035-1623 | 2007-08-13 |
| 1669499356 | Lawrence A Gralewski | Chiropractor | 2178 Fort St, Lincoln Park, MI 48146-2405 | 2006-07-17 |
| 1366410755 | Frank Kardos IIi | Chiropractor | 3583 Fort St, Lincoln Park, MI 48146 | 2006-03-10 |
| 1992793905 | Charles Matthew Gilcher | Chiropractor | 3030 Fort St, Lincoln Park, MI 48146-2428 | 2005-10-12 |
| 1801180740 | Kenneth Fessler | Chiropractor | 63 Beaverbrook Rd, Suite 103, Lincoln Park, NJ 07035-1440 | 2011-06-08 |
| 1578896072 | Camkalllc | Chiropractor | 9 Mason Ave, Lincoln Park, NJ 07035-1623 | 2009-09-15 |
| 1801083035 | Charles M. Gilcher D.c., P.C. | Chiropractor | 3030 Fort St, Lincoln Park, MI 48146-2428 | 2007-10-02 |
| 1356492995 | Robin L Roberts | Chiropractor | 2178 Fort St, Lincoln Park, MI 48146-2405 | 2007-01-12 |
| 1407933138 | David Alan Runfeldt | Chiropractor | 166 Main St, Lincoln Park, NJ 07035-3707 | 2006-11-01 |
| 1265463574 | Eddy N Fischgrund | Chiropractor | 61 Beaverbrook Rd, Suite 103, Lincoln Park, NJ 07035-1748 | 2006-07-05 |
| Find all providers in LINCOLN PARK | ||||
| City | LINCOLN PARK |
| Zip Code | 07035 |
Please comment or provide details below to improve the information on DR. DAVID ROSS TANNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.