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DAVID ERIC TANNER DO NPI 1609897578


NPI Information

NPI: 1609897578
Provider Name: DAVID ERIC TANNER, DO
Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
Entity Type: Individual
Organization: CREEKSIDE PHYSICAL MEDICINE PLLC

PECOS Registration: Yes

Address:
5387 MANHATTAN CIR
SUITE 201
BOULDER, CO
ZIP 80303
Phone: (303) 494-2705
Get Directions

David Eric Tanner, DO is a neuromusculoskeletal medicine omm in Boulder, CO with 27 years of experience. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. David Eric Tanner, DO NPI is 1609897578. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduation Year:1997

The provider's business location address is:

5387 MANHATTAN CIR
SUITE 201
BOULDER, CO
ZIP 80303-284
Phone: (303) 494-2705
Fax: (303) 494-2706

The NPI 1609897578 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes (HCPCS:97530)
  • Osteopathic manipulative treatment to 9-10 body regions (HCPCS:98929)
  • Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)

The enumeration date for this NPI number is 7/23/2006 and was last updated on 12/6/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204D00000XNeuromusculoskeletal Medicine & OMM38635COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C807341MEDICARE PINCOLORADO
2C807331MEDICARE PINCOLORADO
3H32430MEDICARE UPINCOLORADO
4C807492MEDICARE PINCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.