DR. TANNER DICKERSON (NPI# 1528458734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528458734 |
| Entity Type | Individual |
| Full Name | DR. TANNER DICKERSON |
| Credential | D.C. |
| Practice Address |
305 Downtowner Plz Coshocton OH 43812-1928 |
| Mailing Address |
Po Box 773 Coshocton OH 43812-0773 |
| Practice Telephone | 7405625600 |
| Mailing Telephone | 7405625600 |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2016-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC.4491 | OH | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | TANNER DICKERSON NPI | 152845874 | 01 |
| OH | ILLUME CHIROPRACTIC NPI | 1497147177 | 01 |
| Street Address |
305 DOWNTOWNER PLZ |
| City | COSHOCTON |
| State | OH |
| Zip Code | 43812-1928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497147177 | Illume Chiropractic, LLC | Chiropractor | 305 Downtowner Plz, Coshocton, OH 43812-1928 | 2015-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801403035 | Edward Ramey | Rehabilitation Counselor | 2030 Atwood Terrace, Coshocton, OH 43812 | 2020-10-01 |
| 1851907984 | Jamie Williams | Day Training, Developmentally Disabled Services | 24927 Tr 36, Coshocton, OH 43812 | 2020-09-23 |
| 1700492097 | Stacy Hayes | Registered Nurse | 51118 Sr 541 East, Coshocton, OH 43812 | 2020-09-22 |
| 1255790317 | Patty Roof | Nurse Practitioner | 771 Ridgewood Dr, Coshocton, OH 43812 | 2016-02-17 |
| 1669881876 | Abbington Coshocton Corp | Assisted Living Facility | 255 Browns Lane, Coshocton, OH 43812 | 2014-08-13 |
| 1760743645 | Ashley Webb | Counselor | 47023 Tr 204, Coshocton, OH 43812 | 2012-06-06 |
| 1659637288 | Family Care Behavioral Services | Psychiatry & Neurology | 224 Chestnut St, Coshocton, OH 43812 | 2012-04-09 |
| 1891064820 | Karen M Bell | Specialist | 353 Walnut Street, Coshocton, OH 43812 | 2011-12-20 |
| 1518284850 | Rhonda Marle Elder | Licensed Practical Nurse | 602 Highland Blvd, Coshocton, OH 43812 | 2010-04-27 |
| 1750565586 | D. Michael Mcpeak D.c., Inc. | Chiropractor | 1101 Chestnut Street, Coshocton, OH 43812 | 2007-12-28 |
| Find all providers in zip 43812 | ||||
| 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 |
|---|---|---|---|---|
| 1750565586 | D. Michael Mcpeak D.c., Inc. | Chiropractor | 1101 Chestnut Street, Coshocton, OH 43812 | 2007-12-28 |
| 1720007727 | Paul D Valenti | Chiropractor | 112 Chestnut Street, Coshocton, OH 43812 | 2006-07-19 |
| 1841265584 | John Jacob Snyder IIi | Chiropractor | 649 Walnut Street, Coshocton, OH 43812 | 2006-02-17 |
| 1902808728 | Chad E Guess | Chiropractor | 1101 Chestnut St, Coshocton, OH 43812-1323 | 2005-08-11 |
| 1588669279 | Gerald N. Arndt | Chiropractor | 409 S Whitewoman St, Coshocton, OH 43812-9563 | 2005-06-17 |
| 1225033632 | John J Snyder II | Chiropractor | 649 Walnut St, Coshocton, OH 43812-1634 | 2005-06-14 |
| 1497147177 | Illume Chiropractic, LLC | Chiropractor | 305 Downtowner Plz, Coshocton, OH 43812-1928 | 2015-03-04 |
| 1083915375 | Amanda Jean Giles | Chiropractor | 112 Chestnut St, Coshocton, OH 43812-1129 | 2010-11-03 |
| 1528205762 | Chad E. Guess D.c. LLC | Chiropractor | 1101 Chestnut St, Coshocton, OH 43812-1323 | 2009-01-09 |
| 1427231372 | Gerald N Arndt | Chiropractor | 409 S Whitewoman St, Coshocton, OH 43812-9563 | 2007-12-14 |
| Find all providers in COSHOCTON | ||||
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| 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.